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Air Filter - Pflugerville Independent School District

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FORM A: VENDOR PROFILE<br />

Company Name: ____________________________________________________________________<br />

Contact Information:<br />

Regarding Bid Process/Contract Renewals:<br />

1. Contact Name: _____________________________________________________________________<br />

2. Phone: __________________________________ 3. Fax: _____________________________<br />

4. Address: __________________________________________________________________________<br />

5. Email Address: _____________________________________________________________________<br />

To Place Orders:<br />

1. Phone: __________________________________ 2. Fax: _____________________________<br />

3. Address: __________________________________________________________________________<br />

4. Email Address: ____________________________ 5. Website: _____________________________<br />

Payment Address: ____________________________________________________________________<br />

References:<br />

Please list three (3) Texas school districts of comparable size to PISD which you have served in the past three<br />

years.<br />

1. ____________________________________________________________________________<br />

2. ____________________________________________________________________________<br />

3. ____________________________________________________________________________<br />

Company Information:<br />

Please indicate if this response is for multiple locations or divisions within your company and list applicable<br />

information:<br />

____________________________________________________________________________________<br />

____________________________________________________________________________________<br />

How many consecutive years has your company been in business? _______<br />

<strong>Pflugerville</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong> wishes to encourage the participation of minority and female<br />

owned businesses.<br />

Is your company a minority/female (please circle) owned business? Yes _____ No _____<br />

If so, is your company currently HUB certified through the State of Texas? Yes _____ No _____<br />

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