Bidder Application

1. <p align="center"><img src="http://va-orangecounty.civicplus.com/DocumentCenter/View/101"><br> Orange County Finance Department <br>112 W. Main Street <br>Orange, VA 22960</p>

   
   Orange County Finance Department
   112 W. Main Street
   Orange, VA 22960

2. Date*

3. Application Type*
   -- Select One --New ApplicationName ChangeAddress Change

   Select all that apply

4. First Name*

5. Last Name*

6. Company Name

7. Federal Tax ID Number

8. Names and Titles of Representative/s whom are authorized to sign bids and contracts:

9. E-mail Address for bid notification*

11. Address1*

12. Address2

13. City*

14. State*

15. Zip*

16. Type of Business

17. Description of Products/Services Offered

19. Application Authorization
    1. By checking this box, you authorize Orange County to accept this application.

    It is the resopnsibility of the company to keep their applications current and to notify the Procurement Coordinator when changes occur regarding the products or services offered, address, ownership, or status of a bidder. Placement on the Bidder's List does not guarantee a receipt of a solicitation request. It is the bidder's responsibility to check the bid notices posted on this website and eVA (Virginia's electronic procurement site located at http://www.eva.virginia.gov/). By checking the box you certifiy that the information supplied herein is correct and that neither the applicant nor any person in any connection with the applicant as a principal or officer, so far as it is known, is now disbarred or otherwise ineligible by any public agency from bidding for furnishing materials, supplies, or services to any agency thereof specified.

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21. 1. Receive email copy
22. Email address

23. Submit Submit and Print

* indicates a required field