Use this link to skip navigation bar.
Atlantic County, New Jersey
County Government
Home | County News | Gallery | Directions | Calendar | A - Z | Contact | Search
 
Atlantic County Government Atlantic County Government

Atlantic County Seal

Atlantic County Government
DEPARTMENT OF ADMINISTRATIVE SERVICES

DEPARTMENT OF ADMINISTRATIVE SERVICES

DIVISION OF BUDGET AND PURCHASING

Division of Budget and Purchasing Home
Send email to the Division of Budget and Purchasing
 
Click here for a printable version of this form.

 

ON-LINE VENDOR FORM
Company Name:
Contact Person:
Title:
Number of Employees:
Address:
City/State/Zip:
Phone Number:
Fax Number:

Minority Owned:
(51% or more owned
and operated by minorities)

Are you a minority registered
vendor in New Jersey:

If yes -- NJ Registration Number:
Female Owned:
(51% or more owned
and operated by a female)
Are you a minority registered
vendor in New Jersey:
If yes -- NJ Registration Number:
Does your company have an office located in Atlantic County?
If Yes, please include location:
Does your company currently have any contracts with the State of New Jersey:
If yes, state the commodity and contract number:
State any additional commodity and contract number:
Please list the commodity(ies) or service(s) you are interested in providing to Atlantic County:
Your E-Mail Address: (REQUIRED)