Vendor Registration | Lake County Forest Preserves

Applicant Information

* Field is Required

Company name *

Federal tax ID *

Street address *

Street address 2 (optional)

City *

Country/State *

Zip code *

Contact name *

Contact title *

Email *

Confirm email *

Daytime phone *

-

Fax (optional)

-

Cell phone (optional)

-

Do you accept purchase orders? *

Yes

No

Years in present business *

State of organization *

Do you accept credit cards? *

Yes

No

Authorized person 1 *

Title

Authorized person 2 (optional)

Title

Authorized person 3 (optional)

Title

Commodity and Service List

Please identify the services and/or commodities that you or your company provide.

Account Access

Please enter the password you would like to use in order to access the system.

Password

Confirm Password

* Receive email notifications on current procurement opportunities and updates, including addendums for the services or commodities you have selected?

Yes

No