Vendor Application

Contact Information
Name*
First Last
Email*
Please list the email address you'd like to be used to receive inquiries.
Phone*
Company Name*
Website
Company Address*
Street Address Address Line 2 City State ZIP Code
Upload Logo
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 64 MB.

General Information
Business Profile*
Give a concise description of the firm’s primary activities and the product(s) or service(s) it provides. If your company offers more than one product/service, list the primary product or service first.
Products or Services Offered*
- Beverages
- Disposables
- Food
- Furniture and Fixtures
- Kitchen Equipiment
- Linens
- Small Wares
- Uniforms
- Cleaning Services
- General Contractors
- Landscaping
- Laundry
- Printing
- Roofing
- Ad hoc Security
- Florists
- Valet
- Concierge Services
- Plumbing
- Electric Services
- Mechanical Services
- Refrigeration Repair
- Emergency Restoration
- Waste Disposal
- Other
If 'Other', please specifiy:
Type of Legal Business Structure*
(check all that apply)
- Sole Proprietorship
- Limited Liability Partnership
- Partnership
- Corporation
- Other
If 'Other', please describe
Number of Employees*
Annual Sales*
What is your current annualized sales volume in US dollars?

Largest Contracts

List the three largest contracts completed by your firm in the past 3 years, if any:

Name of Owner/Contractor	Name/Location of Project	Type of Work Performed	Dollar Value of Contract	Actions

There are no Contracts.

Ownership Information
Identify the majority owner of the firm holding 51% or more ownership interest.
Owners Name*
First Last
Title*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Gender*
- Male
- Female
Ethnicity*
US Citizenship*
- US Citizen
- Lawfully Admitted Permanent Resident
What State is the Applicant a legal resident*
Number of years as owner*
Ownership Percentage*

Business Information
If a professional license or permit is required to provide the product or service, give the information as follows:

Professional License

If a professional license or permit is required to provide the product or service, please list them below. Add all that apply.

License Holder	License/Permit Type	License Number	Actions

There are no Entries.

Does your firm have liability insurance/other insurance?*
- Yes
- No
Please briefly describe*
List Inventory Items
List/describe your firm’s Equipment and Vehicles inventory below if applicable.
Inventory Actions
There are no Inventory Items.
Maximum number of inventory items reached.

Inventory	Actions

There are no Inventory Items.

Customer Reference Name	Customer Reference Company/Contract	Phone	Email	Actions

There are no References.

New Orleans and Company