PROCARD VALUED SUPPLIER INFORMATION SURVEY

Because the City of Milwaukee’s valued supplier lists are posted and updated on the internet (www.ci.mil.wi.us/citygov/doa/sp/sp.htm), please complete the following information as you would like to see it on our web page:

  1. Name of your company:

    2. ______________________________________________________________________________

  2. Contact name, title, and/or staff who would receive Procard orders:

    3. ______________________________________________________________________________

  1. Contact person’s telephone number and fax number:

    2. ______________________________________________________________________________

  2. In general terms, please list the goods and/or services which your company can provide to City of Milwaukee cardholders:

    3. ______________________________________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

  1. List any special information that cardholders should be aware of (e.g., reference an account number when ordering, delivery only-no pick up, etc…):

______________________________________________________________________________

______________________________________________________________________________

PLEASE RETURN THIS FORM WITH THE COMPLETED SUPPLIER PROCARD COMMITMENT AND FEDERAL W-9 FORMS.