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2. PARTs purchasing goal is to engage strong, experienced, and reliable vendors to work with our organization. By completing the following information, you will be added to our interested vendor list and notified when potential opportunities are available for a product or service relating to your industry. It is the vendors responsibility to ensure that the information provided stays current and up to date. Completing this registration does not guarantee any future awards.
4. Name*
5. Title
7. Company*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Fax Number
18. Email Address*
20. Company Website
22. Type of Business*
24. Description of Services
    Provide a brief description or list the type of services provided.
26. Is your company?

    Select only those options that apply to your organization.

    1. Insured
    2. Licensed
    3. NCDOT Certified DBE Vendor
    4. NC Statewide Term Contract Vendor
28. Additional Information
    Please upload any additional information you would like to share about your company.
30. W9 Documentation
    Please upload a copy of your company's W9.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field