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Vendor Certification Form with Categories

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  20. W-9 Fax Instructions
    The W-9 Form is required to be considered as a vendor. If you are unable to attach your company's W-9 to this form, please fax it to the Procurement Department at 662-469-8262.
  22. Is a credit application required?*
  27. Your Company Provides:*
  29. Categories
    Check each category of product or service that your company provides.
  31. A
  33. B
  35. C
  37. D
  39. E
  41. F
  43. G
  45. H
  47. I
  49. J-L
  51. M-0
  53. P
  55. R
  57. S
  59. T
  61. U-Z
    64. Leave This Blank: