Vendor Responsibility Questionnaire

New York State Vendor Identification Number . Telephone. ext. Fax . Email. Website. Authorized Contact for this Questionnaire Name: Telephone. ext. Fax . Title. Email. List any other DBA, Trade Name, Other Identity, or EIN used in the last five (5) years, the state or county where filed, and the status (active or inactive): (if applicable) Type ... ................
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