Step 1: Complete Company Information Step 2:Select Major Level NIGP Codes Step 3:Select Detailed NIGP Codes	Vendor Registration/Bid List Application
	Company Information ( * = required information)
	*Vendor Name:
	Website:
	Address To Which Bidding Forms & Purchase Orders Are to be Mailed:
	*Address:
	*City:	*State: AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY *Zipcode:
	Address To Which Payments Are to be Mailed: If Same as Above, Check Here
	*Address:
	*City:	*State: AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY *Zipcode:
	*Phone Number W/ Area Code:	example: (123) 456-7891
	*Fax Number W/ Area Code:	example: (123) 456-7891
	How Long in Present Business:
	Type of Organization:(Check One)	Individual Partnership Corporation
	If Incorporated, Indicate in Which State:	AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
	*President/Owner Name:
	Bank Reference
	Bank Name:
	Street:
	City:	State: AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zipcode:
	Phone Number:
	Contact Information
	*Area Sales Rep/Contact:
	*Title:
	*Phone Number:	Extension:
	*Fax Number:	example: (123) 456-7891
	*Email Address:
	IN ORDER TO BE RECOGNIZED BY MUSKEGON COUNTY AS A HANDICAPPER, MINORITY, OR WOMAN OWNED BUSINESS, VENDORS MUST PROVIDE THE COUNTY WITH A COPY OF YOUR CERTIFICATION LETTER.
	Does Your Company Have An Affirmative Action Plan? Yes No
	Please Check One or More, If Applicable: Handicapper Owned Business Woman Owned Business Minority Owned Business: Black Hispanic Asian Pacific Asian Indian American Indian