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City of Chino Hills Vendor Application

  1. Failure to complete this application in its entirety may result in no action.
  2. Check One:
  3. Persons to contact concerning bids/phone quotes:
  4. Other public agencies with whom you do business:
  5. Submitting this form certifies that the information supplied herein (including all pages attached) is correct and that neither the applicant nor any persons (of concern) are in any connection with the applicant as a principal or officer, so far as is known, is now debarred or otherwise declared ineligible by any public agency from quoting or furnishing materials, supplies or services to any agency thereof.
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  7. This field is not part of the form submission.