Group23044 Serials & Electronic Database Access (Statewide)Page 1
Group23044 – Serials & Electronic Database Access (Statewide)Page 1
23044 Attachment 7 - Reseller DirectorySerials and Database Access (Statewide)
Contractor Name:
Reseller Information
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
Reseller
Company Name:
Address:
Federal ID #:
NYS Vendor ID #:
Contract Person:
Title:
Telephone Number:
Fax Number:
E-mail:
MWBE Certification: / NYS Certified Women owned NYS Certified Minority owned Both
SBE: / NYS Small Business Enterprise (self-identified)
Reseller is Authorized to: / Take Orders Ship Direct Receive Payment
Qualifying Criteria Applicable to this Reseller:
23044 Attachment 7 - Reseller Directory