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Vendor Set-Up Form

City of Westminster           Vendor Set-Up Form
4800 West 92nd Avenue  *  Westminster, CO 80031  *  Phone 303-658-2400  *  Fax: 303-706-3923
Please fill out completely An incomplete form will create a delay in our payment(s) to you and your Payment(s) could be subject to the IRS required back-up withholding.

Name as it will appear on check:
Do you use a DBA or acronym?
Remittance Address:
City:
State:
Zipcode:
Business Address:
City:
State:
Zipcode:
Accounts Receivable Contact:
Phone Number:
Fax Number:
Email address: