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John Venti

440 North Broad St.
Portal A, Suite 302
Philadelphia, PA 19130
Phone: 215-400-4380

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Bidder Application Form

Please read our Vendor's Guide to Doing Business with the School District of Philadelphia. Filling out a Bidder's Application form does not automatically put you on a mailing list.

Please fill out the below form and submit it electronically by clicking "Save" below. Please print a copy for your records.

From	*
Subject	Bidder Application Form
Company Name
Alias
Street Address
City
State
Zip Code
Contact Name
Owner
Title:
Email
Telephone Number
Fax Number
Website URL
Alternate Contact Name
Alternate Contact Title
Alternate Contact Phone
Alternate Contact Email
Vendor ID
Type of ownership (Check all which apply):	African-American Asian Caucasian Native American Latino Woman Non-Profit Other (please indicate)
Numbers of Years in Business
Number of Employees
Other
Number of minorities employed:
Number of women employed:
Tax Identification #
Annual Gross Income for the past three years:
2 Years Ago -
3 Years Ago -
Certification	Yes No If certified as a small, disadvantaged, minority, or woman owned business by a certifying agency, please input the name of the Certifying Agency
Certification Type
Certification Expiration
Certification Status
Certification Authority
Products/Services Offered
Your Name:

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