Providing Innovative Rural & Urban

Public Transportation in Central & East

Texas Since 1974.

 

Brazos Transit District 

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Vendor Registration

To be placed on The District's Vendor Bid List complete and submit the following form. If you have product literature you would also like to send it can be mailed to:

Brazos Transit District

Margie Lucas

1759 N. Earl Rudder Freeway

Bryan, Texas 77803

 

NOTE: REGISTRATION FORMS THAT ARE NOT FILLED OUT COMPLETELY WILL BE DISREGARDED. ALL QUESTIONS MUST BE ANSWERED.

 

Company Name:  

 

Address:    City:  

 

State:      Zip:  

 

Federal Tax ID or Social Security #:     Annual Gross Receipts of Company:

 

Year Established:                  Number of Employees: 

 

Website address:   

 

Contact Person:           Title:  

 

Phone #:   Fax #:  E-mail:  

 

Company Ownership

Sole Proprietorship     Partnership       Corporation      Other (specify)   

 

Are you a Historically Underutilized Business (HUB)?  Yes  No     If yes, #

(http://www.tbpc.state.tx.us/communities/procurement/prog/hub)

 

Are you a Disadvantaged Business Enterprise (DBE)?  Yes  No    If yes, #

(http://www.dot.state.tx.us/business/tucpinfo.htm)

 

List the equipment, supplies, materials and/or services you would like to be on the Vendor/Bid List for:

 

 

Check the area(s) you are interested in providing services in:

 Bryan           Livingston            Lufkin            Nacogdoches            The Woodlands

 

List three references that you have recently provided goods/services for.

Company Name:   

Contact Person:          Phone #:

Address:  City:  State:  ZIP: 

 

 

Company Name:   

Contact Person:          Phone #:

Address:  City:  State:  ZIP: 

 

 

Company Name:   

Contact Person:          Phone #:

Address:  City:  State:  ZIP: