NYS Contract Participation Profile Form
Contact Info
Company Info
Address 2:
Office Fax Number:
Would you like a Catalog:
If Yes above how many Catalogs do you need:
What is your preferred method for the Price File
Hard Copy:
If you answered Yes how many do you need:
CD-Rom:
If you answered Yes how many CD's do you need:
E-Mail:
Which preferred methods of ordering would you like
Order by Phone:
Order by Mail:
Order by Internet:
Order by E-Mail:
Order by EDI:
Order by Fax:
Purchase Info
Do you use a Purchase Card:
Do you use a System Purchase Program:
If Yes what System Purchase Program do you use:
Which methods of Invoicing would you like
Invoices by Location:
Invoices by Cost Center:
Invoices by Departmental:
Invoices by Month:
Invoices Per Order:
.
Can we contact you:
Notes:
* required