Services: Vendor Registration

How to Register as a Vendor

Please fill out the form below. Please email your completed business W-9 form and any questions concerning vendor registration to Antionette Goodwyn at antionette.goodwyn@rockymountnc.gov. You can find a blank W-9 attachment in the Related Documents.

Related Documents

Services: Vendor Registration

How to Register as a Vendor

Purchasing Vendor Information Form

Ownership Status

Please complete the following ownership status (must be completed before a vendor can be set up).

Certifying Agency

Please check the certifying agency (please send a copy of current certification letter, if applicable).

Products and/or Services

Please enter any products/services with which you would like your company to be identified.

Conflict of Interest

Do you have any relatives, or have a working relationship with anyone currently employed with the City of Rocky Mount?

Checkbox

I hereby certify that the information provided herein is correct:

Finance Services

Financial Reports

MWBE

Open Bids

Property Taxes

Vendor Registration

Surplus