City of Corpus Christi

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SUPPLIER INFORMATION
Company Name:
         PREFERRED MAILING ADDRESS:
Address:
City:
State:
Zip Code:
Contact First Name:
Contact Last Name:
Telephone:
Ext:
Fax:
Email Address:
         PHYSICAL ADDRESS:
Address:
City:
State:
Zip Code:


Enter below the appropriate commodity or service category(s) you are able to provide the City. Search the drop-down box and select a commodity or service category description. You may enter up to 16 commodities or services. For example: Company ABC Computers might select 3 categories "Computer Access. & Supplies", "Computer Hardware" and "Computer Software".
Category NumberCategory Number


Yes, I am a certified Historically Underutilized Business (HUB)
Yes, I am a Local Small Business (definition)

Other certification
(Please specify):
If you are not a certified HUB and would like assistance becoming certified, please click here.
The above Minority Business information is requested strictly for statistical purposes and will not influence the amount of expenditures the City will make with any given company.
 
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Date: