Form Test - Springfield Water and Sewer Commission

Form Test

Vendor Registration

Please, fill out this online form with the information exactly the way it appears in your W-9.
Fields below are numbered as they appear on the W-9 form.

1) Name as it appears in field 1 of your business's W-9*
2) Business Name if different from above.
5) Business Street Address (number, street, apt / suite #)*
Street Address Address Line 2
6) Business City, State and Zip*
City State / Province / Region ZIP / Postal Code Country
Point of Contact (POC) name for your business*
First Last
Point of Contact (POC) Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
POC Email*
POC Phone Number*
Point of Contact Name for emailed PO's (if different)
Alternate email for receipt of POs (if different)
POC Address for POs (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
POC Phone Number for Purchase Orders (if different)
File Upload
Accepted file types: pdf, Max. file size: 20 MB.
Relevant Documents may be uploaded here. Must be in .pdf form. Maximum file size is 20 mb.
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