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City of Elgin Vendor Registration

  1. Please complete this form and choose Submit or Submit and Print to send it to the City of Elgin Purchasing Department. Fields with red asterisks are required. Thank you.

  2. (no spaces, e.g. 5555555555)

  3. (no spaces, e.g. 5555555)

  4. Do you offer discounts to City employees?*

  5. Tax Type (Choose One)*

  6. Vendor Type (Choose One)*

  7. Vendor Status*

  8. Commodities/Services (choose all that apply)*

  9. Minority Status (Choose One)

  10. If you wish to receive an email copy of this form instead of printing, please check the box below and enter your email address.

  11. Leave This Blank:

  12. This field is not part of the form submission.