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2. Company name*
4. Primary Contact Number*
6. Is your company a Women, Minority or Veteran owned business?*

   1. Yes
   2. No
8. Please upload your VBE or W/MBE Certification:

   A vendor preference shall be afforded to Veteran Business Enterprises (VBE), and Women/Minority Business Enterprises (W/MBE) in accordance with the City of Bartow's Purchasing procedures. A copy of your company's certification must be submitted in order to be afforded said preference. 

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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

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