Vendor/Supplier Form

The Long Beach Community College District encourages the use of Local businesses, Small businesses, and Disabled-Veteran owned businesses for all of its Bond program related procurements.

* Company Name
* Materials/Supplies (Hold Ctrl + Click for Multiple)	Acoustical Audio Visual Automotive Finishing / Paint Booth / Welding Booth Awnings and Canopies Child Care Equipment Communications Computer - Hardware/Software/Network Supplies Concrete Products Construction Equipment Rentals Doors Electrical Supplies Electronic Site Security Systems Elevator Fencing Filters Flooring Furniture, classroom, office, outdoor Glass Hand Tools Heavy Equipment HVAC Landscape Supplies Lock/Locksmith Maintenance Supplies Mobile & Modular buildings Moving & Storage Office equip., copier, printer, fax, scanner sales Other Paving Portable Toilets Printing Services Protective Coverings, Awnings, Shelters Safety / first aid / traffic control/ emergency supplies Signage Storage Containers Tools & Fasteners Waste Management Waster Management
* Contact Name
* Mailing Address
* City	* State      * Zip
* Email Address
* Telephone
Fax
*Provide DIR registration number	Yes Last 4 digits       * Exp Date
Are you a SMALL BUSINESS?	Yes      No
Are you a DVBE?	Yes      No
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