2. First Name*
3. Last Name*
4. Business Name*
6. Business Mailing Address*
10. City*
11. State*
12. Zip*
14. Date business was established*
    Date business was established
16. Type of Organization*

    1. Corporation
    2. Partnership
    3. Non-Profit
    4. Individual
18. Incorporated under laws of which state?
20. Is the organization a Minority Business Enterprise?*

    1. Yes
    2. No
21. If yes, please indicate the minority classification.

    1. African-American (male)
    2. African-American (female)
    3. Woman-Owned
    4. Hispanic
23. Type of Business*

    1. Manufacturer
    2. Factory Representative
    3. Wholesale Dealer
    4. Retail Dealer
    5. Construction - Unliminted Contractor
    6. Construction - Limited Contractor
    7. Service Establishment
    8. Other
25. If you selected "other" above, please specify
27. Maximum Current Bonding Level (if applicable)
29. ISO 9000 Certified?*

    1. Yes
    2. No
30. ISO 14001 Certified?*

    1. Yes
    2. No
34. Contact Person(s)
    Please list the names of those authorized to submit cost quotes or sign bids, offers, and contracts.
36. Contact Person 1
38. Name
39. Title
40. Email
42. Phone
43. Fax
45. Contact Person 2
47. Name
48. Title
49. Email
51. Phone
52. Fax
54. Contact Person 3
56. Name
57. Title
58. Email
60. Phone
61. Fax
65. Product & Service Categories
    Please select all the categories that apply to your business's product(s) or service(s).
67. Products & Services*

    1. Inventory supplies
    2. Cleaning supplies
    3. Office supplies
    4. Computer hardware

    1. Printing
    2. Vehicles & equipment
    3. Laboratory services
    4. Professional Services
71. Please read this important information
    The Commissioners of Public Works (dba Charleston Water System) is certified under the ISO 14001 standard for environmental management.
    
    We are committed to preventing pollution and continually improving the environment. We require vendors to comply with our environmental policy as it relates to the products or services provided to Charleston Water System. Learn more about our environmental policy here.
    
    Please notify us of any changes to your business information.
    
    After submitting this form, please follow the instructions to sign up for email notifications of bid postings for your product/service category.
73. Click below to indicate you have read this information.*

    1. I agree
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75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

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