Purchasing Department Vendor Application

Address
Are You a U.S. Citizen?
If no, are you a Resident Alien?
If no, are you a Non-resident Alien?
If the vendor is an organization please mark the appropriate category below:
Vendor Information Checklist(Required)
Consultant Information Checklist(Required)
In order to be placed on the Vendor's List for Rust College's Purchasing Department, all new applicants must complete a Vendor's Information package. This information will be kept confidential and will be only disclosed for audits or if subpoenaed by a government agency or court of competent jurisdiction.

By Submitting this application, I do hereby solemnly swear or affirm that the information given above is current and true to the best of my knowledge. Furthermore, should any data change in the future, I will ensure that correct information is immediately submitted to the Purchasing Department. I also fully understand and agree that Rust College is not responsible for the payment of any invoice(s) unless an approved purchase order has been issued prior to the delivery of any goods or services.
MM slash DD slash YYYY

For Purchasing Department Use Only Below