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Vendor Registration Form

  1. CITY DEPARTMENT

    ____________________________

  2. COMPANY DETAILS:

    ____________________________

  3. State services to be provided to the city.

  4. CONTACT INFORMATION:

    ____________________________

  5. TAX REPORTING REQUIREMENTS:

    ____________________________

  6. Please upload completed and signed W-9.

  7. Please upload certificate of Good Standing.

  8. Please upload Assumed Business Name Certificate

  9. Please upload your Non-Illinois Vendor company certificate for the state in which you are registered.

  10. Please email wkpurchasing@waukeganil.gov to obtain form.

  11. Please upload, if applicable, a copy of your State of Illinois Central Management Services' Business Enterprise Program (BEP), or Minority Owned Business Enterprise (MBE), or Female Owned Business Enterprise (FBE), or Disabled-Person Owned Business Enterprise (PBE) or Veterans Business Program (VBP) Certificate. Any other certificate will not be accepted.

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