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CITY OF DECATUR VENDOR APPLICATION

  1. YOUR COMPANY NAME AND ADDRESS
  2. (COMPANY OR INDIVIDUAL)
  3. DO YOU ACCEPT VISA*
  4. W-9 INFORMATION*
    I understand that...
  5. If you choose not to upload your W-9 Form here, you may email it to: APINVOICES@DECATURTX.ORG or mail it to: CITY OF DECATUR ACCOUNTS PAYABLE PO BOX 1299 DECATUR, TX 76234
  6. If you choose not to upload your ACH Authorization Form here, you may email it to: APINVOICES@DECATURTX.ORG or mail it to: CITY OF DECATUR ACCOUNTS PAYABLE PO BOX 1299 DECATUR, TX 76234
  7. Signature
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. I agree to the above statement and confirm that all the information on this application is true and accurate to the best of my knowledge.*
  9. Leave This Blank:

  10. This field is not part of the form submission.