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Vendor Invoice Submission
Multiple Invoices Submission
New Vendor Registration
Welcome to the City of Madeira Beach New Vendor Registration Portal. Please follow the instructions for vendor registration submission below.
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Vendor Name
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Legal Entity Name
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Goods and Services Description
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Address
AddressLine2
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
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Louisiana
Maine
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Massachusetts
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New Hampshire
New Jersey
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip Code
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1099 Form Delivery Preference
Email
Mail
Email and Mail
Email address to receive Digital Check
W-9 Applicable
Yes
No
Attach Vendor W-9:
Reason
Applicable Tax Identification Number (TIN)
EIN
SSN
Employer Identification Number (EIN)
Social Security Number (SSN)
Vendor is Incorporated
Yes
No
Vendor Type
Active
Prospective
Type of Corporation
C-Corporation
S-Corporation
Engaged in a Trade or Business
Yes
No
Include on Future Bid Opportunities
Yes
No
Provides Medical or Legal Services
Yes
No
1099-MISC Primary Payment Type
- Select Payment Type -
Rent
Royalties
Fishing Boat Proceeds
Medical Healthcare Payments
Crop Insurance
Gross Proceeds paid to an Attorney
Fish Purchased for Resale
Other
Provides Merchandise or Utilities
Yes
No
Would You Like To Be Paid Electronically Via ACH
Yes
No
Receives Rent or Royalty Income
Yes
No
Do you have any existing business relationship with the Madeira Beach’s Office or its employees?
Yes
No
MBE (Minority Business Enterprise) Certified?
Yes
No
Bank Name
Bank Type
BUSINESS
PERSONAL
Account Type
CHECKING
SAVINGS
Routing Number
Account Number
Attach Voided Check:
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Add Contact
Additional Documents Applicable to this Vendor(s)
* Denotes Required Field
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Add to Contact
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Contact Name
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Phone Number
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Email Address
