Reseller Information
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Phased Solicitation 22790 – Miscellaneous Office Supplies Attachment 9 - Reseller Template Bidder Name:
Reseller Information Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
22790 - Attachment 9 Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
22790 - Attachment 9 Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
22790 - Attachment 9 Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
22790 - Attachment 9 Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
22790 - Attachment 9 SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number: Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller Company Name: Address:
Federal ID #: NYS Vendor ID #: Contract Person: Title: Telephone Number:
22790 - Attachment 9 Fax Number: E-mail: MWBE Certification: Women owned Minority owned Both
SBE: NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
22790 - Attachment 9