Vendor Registration Application (required fields marked with asterisks)
 
Company Information
 
Company Name:*
 
Company Address:*
 
Address (cont):
 
City:*
 
State:*
 
Zip/Postal Code:*
 
Vendor Contact Information
 
Contact Person:*
 
Email:
 
Telephone Number:*
( - 
 
FAX Number:
( - 
 
Taxpayer Identification Number (FEIN/SSN):
 
Business Type (Please circle all that apply. Click here to see complete definitions):
 
 Minority Owned Business
 
 Woman Owned Business
 
 Missouri Service Disabled Veteran Business
 
Commodity/Service Listing: Please select all applicable codes (at least 1 required)
 
Abrasives
 
Acoustical Tile, Insulation, Materials, and Supplies
 
Advertising Services
 
Agricultural Implements, Accessories, and Parts
 
Air Compressors and Accessories
 
Air Conditioning Equipment and Accessories
 
Animals and Livestock
 
Artist Equipment and Supplies
 
Audio/Visual Equipment and Accessories
 
Automobile and Truck Accessories
 
Automobile and Truck Maintenance Items and Replacement Parts
 
Automobile Shop Equipment and Supplies
 
Bags, Bagging, and Ties
 
Barrels, Drums, and Pail Type Containers
 
Bearings
 
Belts and Belting (Conveyor, Elevator, Power Transmission)
 
Biochemicals
 
Blood Grouping - Blood Testing Reagents
 
Bookbinding and Bindery Supplies
 
Bricks and Other Clay Products, Ceramic Tile, and Stone Products
 
Brushes
 
Builder Supplies
 
Building Services
 
Cafeteria and Kitchen Equipment
 
Card Access System, Supplies, Maintenance, and Repair
 
Charter Bus Services
 
Children's Toys/Equipment/Supplies
 
Cleaning/Janitorial Services
 
Clocks, Watches, Jewelry, and Repair
 
Clothing and Apparel
 
Commercial Chemicals
 
Computer & Specialized Software
 
Computers and other Data Processing Systems and Accessories
 
Concrete Products and Supplies
 
Construction/Architect Services
 
Controlling, Indicating, and Recording Instruments and Supplies
 
Coolers (all types)
 
Copiers and other office machines
 
Cutlery, Dishes, Flatware, Glassware, Trays, Utensils, and Supplies
 
Data Processing Cards, Paper, and Posting Fluids
 
Data Processing Services
 
Decals
 
Dental Equipment and Supplies
 
Document Imaging and Destruction
 
Draperies, Curtains, and Upholstery
 
Drugs, Pharmaceutical and Biological-Human Use
 
Electric Cables and Wires
 
Electrical Equipment and Supplies
 
Electronic Components and Supplies
 
Elevators (Building Type)
 
Embossing and Engraving
 
Energy Collecting Equipment and Accessories (Solar and Wind)
 
Engineering Equipment, Surveying Equipment, Drafting Instruments, and Supplies
 
Envelopes, Plain or Printed
 
Equipment for the visually/hearing impaired
 
Equipment Maintenance and Repair Services
 
Equipment Rental Services
 
Executive Search/Recruitment Services
 
Fabricated Buildings and Shelters
 
Fasteners, Fastening Devices, Package Stitching, Strapping, Tying Equipment, and Supplies
 
Feed and Bedding (Animal or Fowl)
 
Fencing
 
Fertilizers and Soil Conditioners
 
Financial Services
 
Fire Protection Supplies and Alarm Systems
 
First Aid and Safety Equipment
 
Fitness Equipment
 
Flags, Flag Poles, Banners, and Accessories
 
Floor Covering, Ceiling Tile, and Wall Covering
 
Floor Maintenance Machines and Parts
 
Food/Groceries/Vending
 
Forensic Supplies
 
Forms (Continuous and Snap-Out)
 
Fuel, Oil, and Grease
 
Furniture (Non-Office)
 
Gases for Hospitals, Laboratories, and Welding use
 
Glass and Glazing Supplies
 
Hand Tools
 
Hardware and related items
 
Heating Units, Ventilating Equipment, and Accessories
 
Hoses (all kinds)
 
Hospital Supplies
 
Household Appliances and Equipment
 
Identification Badges, Pins, and Tags
 
Insurance Services
 
Intercom and Sound Equipment, Electronic Components, and Parts
 
Janitorial Supplies
 
Laboratory Equipment and Accessories
 
Laboratory Equipment, Supplies, and Chemicals
 
Laboratory Supplies for Biology, Botany, Geology, Microbiology, and Zoology
 
Laundry and Dry Cleaning Equipment and Supplies (Commercial)
 
Law Enforcement Equipment and Supplies
 
Lawn Equipment
 
Library Supplies
 
Luggage and Briefcases
 
Lumber and related items
 
Machinery and Heavy Hardware
 
Mailing Equipment
 
Major Transportation Equipment
 
Material Handling Equipment and related items
 
Mattresses
 
Metals (Bars, Plates, Rods, Sheets, Strips, Structural Shapes, Tubing, and Fabricated Items)
 
Microfilm/Microfiche Equipment and Supplies
 
Microscope and Accessories
 
Moving Services
 
Musical Instruments and Supplies
 
Nails, Rope, and Wire Products
 
Nursery, Greenhouse, and Floral Supplies
 
Office Furniture
 
Office Supplies
 
Paging, Telephone Equipment, and Accessories
 
Paint, Protective Coatings, Varnish, and related products
 
Painting Equipment and Accessories
 
Paper (For Office and Print Shop Use Only)
 
Paper and Plastic Products, Disposable
 
Park, Playground, and Swimming Pool Equipment
 
Personnel Services (Temporary)/Staffing
 
Pest Control Items and Supplies
 
Photographic Equipment and Supplies
 
Photography Services
 
Pianos
 
Plastic and Forming, Laminating, and Molding Equipment
 
Plumbing Equipment, Fixtures, and Supplies
 
Poisons (Agricultural and Industrial)
 
Police Equipment and Supplies
 
Printing Equipment
 
Printing Services
 
Printing Supplies
 
Promotional Items/Screenprinting/Specialty Items for Advertising
 
Publications (prepared materials only)
 
Pumps (all kinds) and Accessories
 
Radios - Portable, Mobile, Console
 
Rags, Shop Towels, and Wiping Cloths
 
Recycling Services
 
Refrigeration Equipment and Accessories
 
Road and Highway Building Materials and Equipment
 
Roadside and Park Area Services
 
Roofing Materials (Except Wood)
 
Salt
 
Scales and Weighing Apparatus
 
School Equipment and Supplies
 
Security Services
 
Seed, Sod, and Soil
 
Services and Commodities not otherwise listed
 
Shoes and Boots
 
Signage
 
Snow Removal Equipment
 
Specialized Laboratory Equipment
 
Sporting and Athletic Goods
 
Spraying Equipment
 
Steam and Hot Water Accessories and Supplies
 
Steam Boilers, Steam Heating, and Power Plant Equipment
 
Stencils and other marking devices
 
Stockman Supplies
 
Tanks (all types)
 
Tape
 
Tarpaulins and Tents
 
Temporary Labor Services
 
Testing and Training Apparatus, Instruments, and Machines (Not for Electrical and Electronic Measurements)
 
Textiles, Piece Goods, and Household Linens
 
Theatrical Equipment and Supplies
 
Therapy Equipment and Supplies
 
Tickets
 
Traffic Control Devices (incudes markers, signs, and barriers)
 
Trash Services
 
Travel Services
 
Twine
 
Veterinary Equipment, Supplies, and Services
 
Video Camera and accessories
 
Visual Education Equipment and Supplies
 
Waste Management/Hazardous Waste Disposal
 
Water Supply (not Boiler or Air Conditioning) and Sewage and Waste Treatment Equipment
 
Water Treatment Chemicals
 
Welding Equipment, Supplies, and Services
 
Window Coverings (inside and out)
 
X-Ray Equipment and Supplies (Medical)
 
IF "Services and Commodities not otherwise listed" is checked, please provide a brief description:
 
Applicant's Certification:
 
I agree that the foregoing information is a true and correct statement of the facts and agree to abide by the laws of the State of Missouri and the rules and regulations of Southeast Missouri State University currently in effect and including any subsequent revisions thereof. Applicant acknowledges that it is his/her responsibility to keep the information current by notifying the Purchasing Department of any changes. The applicant also acknowledges that repeated failure to respond to solicitations may result in removal from the bid list.
 
  By checking this box you agree to the above statement. (Must agree to submit form)