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Vendor Certification Form with Categories

  1. 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.
  2. Is a credit application required?*
  3. Your Company Provides:*
  4. Categories
    Check each category of product or service that your company provides.
  5. A
  6. B
  7. C
  8. D
  9. E
  10. F
  11. G
  12. H
  13. I
  14. J-L
  15. M-0
  16. P
  17. R
  18. S
  19. T
  20. U-Z
  21. Leave This Blank: