REGISTRATION INFORMATION

Company Information

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* 1. Company Information

Company Website

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* 2. Company Website

Brief Description of Services

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* 3. Brief Description of Services

Representative #1 Name

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* 4. Representative #1 Name

Representative #2 Name

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* 5. Representative #2 Name

Is your company a registered vendor with the City of Charlottesville?

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* 6. Is your company a registered vendor with the City of Charlottesville?

Has your company ever had a contract with the City of Charlottesville?

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* 7. Has your company ever had a contract with the City of Charlottesville?

Please indicate if your company is registered as any of the following:

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* 8. Please indicate if your company is registered as any of the following:

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