RCC Purchasing Department
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Vendor Registration Request
   
Company Name

Mailing Address
City
State
Zip
Phone Number
Company Email
Web Page Address
 
 
Type of Business or Commodity
   
  
Is this business certified as one of the following? If so, indicate the certification number on the adjoining box. (Search OMWESB).
   
   
Certification Number
Federal Tax I.D.
   
Comments
   
Submitted by *
Email address *
   
 

   
* Required Form Fields

Rogue Community College supports affirmative action so that discrimination does not occur on the basis of race, color, sex, religion, national origin, physical or mental disability, or veteran's status.

   

 

Kimberly Haney - E-mail khaney@roguecc.edu
Procurement Specialist
Mary S. Gehret - E-mail mgehret@roguecc.edu
Purchasing and Contracts Coordinator
Rogue Community College
541-956-7164
541-956-7236 Fax
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