Vendor Database Form
Thank you for your interest in partnering with the Lehigh and Northampton Transportation Authority (LANTA). This form is designed to collect essential information about your business to help us maintain an up-to-date vendor database. By registering, your company may be considered for future procurement opportunities, outreach, and notifications. Please complete all required fields as accurately as possible. All information provided will be handled by our Privacy Policy.
Business Contact Infomation
Business Name
*
Legal Business Name
DBA / Trade Name (If different)
Doing Business As
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Website
Business Classification
Select All that Apply for Certification Status
*
DBE (Disadvantaged Business Enterprise) (Certified)
SBE (Small Business Enterprise)
MBE(Minority Owned Business Enterprise)
WBE (Women Owned Business Enterprise)
WOSB (Women-Owned Small Business)
VBE (Veteran-Owned Business)
None of the Above
Other
DBE Certification Number
Primary Contact
Name
First Name
Last Name
Position
Direct Email
example@example.com
Good and Services
Description of Goods and Services
*
Please describe the good and services offered by your company
Enter NAICS Code(s) Enter Multiple if Applicable
*
Please verify that you are human
*
Submit
Should be Empty: