Vendor application

Business name. Please include DBA or subsidiary if applicable.
Please choose a user name (at least eight characters long)
Is your firm incorporated?
Is your firm a Not-for-Profit concern?
Is your firm 51% or more owned and operated by a woman?
If yes, what governmental agencies are you certified?
Do you require a 1099 form?
Indicate your firm’s organizational type
Is your firm a large or small business?
Is your firm a handicapped business concern?
Is your firm 51% or more owned and operated by a minority?
If yes, what governmental agencies are you certified?
Please identify minority group(s)?
Mailing address

IT IS CRITICAL TO DURHAM TECHNICAL COMMUNITY COLLEGE THAT YOU COMPLETE ALL DATA
(A W-9 FORM IS REQUIRED AND MUST BE SUBMITTED WITH THIS APPLICATION)