Vendor Registration

Please provide your information as appropriate for ACI consideration.

Vendor name (as it appears on invoice)

Email address

Website (Optional)

Physical address

City

State

Zip

Registration Requirement: Alabama Buys has replaced STAARS. Please ensure your registration is active at alabamabuys.gov.

Vendor Number (Alabama Buys/STAARS)Register at Alabama Buys

Company name (dba)

General contractors license no.(if applicable)

Type of G.C. license(if applicable)

Mailing address

City

State, Zip

Phone number

Fax number

Toll-free number

Authorized representative name

Title

Authorized signature (Please sign in blue ink below)

X ___________________________________

Common name

Technical name (if different)

Brief description

Note: All vendors must be registered and active in Alabama Buys.

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