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  1. City of Farmington
    Central Purchasing Division 805 Municipal Drive Farmington, New Mexico 87401 Phone: 505-599-1373 Hours: Monday-Friday 8:00 a.m.-5:00 p.m. MT
  2. Are you Incorporated:*
  3. List products/services you can furnish by choosing them from the Commodity/List Book. List the commodity separated by a hyphen, then the sub-commodity and separate each entry with a comma. Example: 255-255, 255-125, 310-410. If you are unsure of how to complete this section, please contact 505-599-1373.
  4. If yes, please provide their name and contact information (department, phone number, email address, etc.)
  5. Please indicate "no" in this box if your company does not offer the discount. If your company does offer the discount, please indicate the "Discount Percentage: and the "Discount Days". (Example: 10%, 10 days)
  6. Certification: I hereby certify that all statements made in this application are true and complete to the best of my knowledge and I understand that misrepresentation of material facts will cause forfeiture of my rights to bid with the City Central Purchasing Office.
  7. Disclaimer
    The City of Farmington is not responsible for any lost or stolen sensitive information sent via unsecured transmission.
  8. Leave This Blank:

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