Please fill out all fields. If you have any question(s) please contact Purchasing at (928) 213-2206. All information must be provided prior to adding a new vendor. A City Email Address is required; all submissions will be tracked for auditing and compliance

Your City Email Address: This will determine your user name*

Your Phone Number*

Vendor Name (Legal Company Name)*

Vendor "DBA" Name (if different)

Vendor Phone Number*

Vendor Fax Number

Vendor Email Address*

Vendor Website

Vendor "Attention To" Name of Contact*

Vendor "Remittance" Mailing/Street Address

Is "w9" signed *

Yes

No

Please upload "w9" if you are requesting a City employee be added please upload the "travel authorization form" for the new employee*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Do you want vendor to be paid by EFT (not check)? If yes then upload the Accounts Payable EFT authorization form (separate from the w9 upload)

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)