Vendor Applications

Vendor Application

* Indicates required field.

Name (Enter Name and Doing Business As (DBA) - if applicable)

Address Line1

Address Line 2

City

State/Prov

Zip Code

Vendor Ownership Types:

Disabled/HBE Business

Minority/Small Business

Woman-owned Business

Non Profit

Date Submitted

Submitted By

Title

Santa Cruz County Employee Contact Name

Department

Tax ID

SSN EIN Both

Living Wage, if applicable

(W9) Business Class

Other Text

Are you a current or former CALPERS member?

Yes

If you are a current or former CALPERS member, what was the name of the agency?

Your Contact Information

You must provide one contact in order to be registered as a vendor with the County of Santa Cruz. Once you submit this page you will have an opportunity verify your data and add additional contacts. Please complete the required fields.

Commodities

You must indicate at least one commodity in order to be registered as a vendor with the County of Santa Cruz. Once you submit this page you will have an opportunity verify your data and add additional contacts and commodities. Please complete the required fields.

Offering Type

Description