Vendor Registration Application

Any prospective or current vendor must complete the Barron County vendor registration application to get on the bid list.  This process is limited to quotes (sometimes called informal bids) for which the estimated cost is less than $5,000.  If the estimated cost is over the $5,000 threshold, Barron County uses a formal bid process.

Once the completed application is received, the information goes into a vendor database.  Registration as a Barron County vendor will not guarantee that your company will receive copies of all solicitations for the goods or services that you have entered on the application form.  Our mailing lists normally include companies that have submitted bids for similar items in the past, companies recommended by the requiring agency and a random selection of vendors from our vendor database.

Business Name/Identification

* Business Name:
* Taxpayer Identification Number Type:
Federal Employer Identification (FEIN)
Social Security Number (SSN)
* Taxpayer Identification Number:

Primary Business Address

* Street Address:
* City, State and Zip: ex: 55104
* Contact Person:
* Title/Position:
* Phone Number:
ex: (612) 555-1234
Fax Number:
ex: (612) 555-1234
* E-Mail Address:
Web Site Address:

Remittance Address (if different than Primary Business Address)

Remittance Street Address:
Remittance City, State and Zip: ex: 55104
Remittance Contact Person:
Remittance Contact's Title:
Remittance Phone Number:
ex: (612) 555-1234
Remittance Fax Number:
ex: (612) 555-1234
Remittance E-Mail Address:

Business Type (Check Appropriate)

* Business Type: Manufacturer
Retailer
Wholesaler
Service
Consulting
Construction
Printer
Work Center

Organization Type (Check Appropriate)

* Organization Type:
Corporation
Individual/Sole Proprietor
Partnership
Government Agency
Limitied Liability Company
Other (Please explain)
Other Organization Type:

How Long in Present Business

Years:
Months:

Number of Full Time Employees

Average number of full time employees:

Business Ownership (Check appropriate)

* Minority Owned:
Yes
No
* Female Owned:
Yes
No

Annual Sales (GROSS REVENUE) (Check Appropriate)

* Annual Sales:
Below $100,001
$100,001 - $500,000
$500,001 - $1,500,000
$1,500,001 - $5,000,000
$5,000,001 - $10,000,000
More than $10,000,000

Products and/or Services Provided (Enter the products and/or services for which your firm wishes to receive bid invitations or quotation requests.)

1:
2:
3:
4:
5:
6:
7:

Security Code

Enter the letters and numbers exactly as shown into the "Security Code" field:
*Security Code:

* - denotes required field