St. Mary's County Public Schools
New Vendor Request
Complete Vendor Name:
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Do you accept purchase orders?
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Yes
No
Employee?
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Yes
No
Vendor Purchasing Address:
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Vendor Accounts Receivable Address:
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Vendor Contact Person:
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Vendor E-mail Address:
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Vendor Phone Number
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Vendor Fax Number
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Person Requesting New Vendor:
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Requester's Phone Number/Extension:
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SMCPS Requester E-Mail Adress:
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Vendor Requested On Behalf Of:
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Department or Location:
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Supervisor:
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Attach the W9 by clicking below (W-9 must be dated within a year):
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Is this an urgent request?
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Yes
No
Please explain:
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Are you aware of any potential conflict of interest between this vendor and SMCPS as defined by SMCPS Ethics Regulations?
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Yes
No
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