Bidder Name:

Address 1: Address 2:

City: State: Zip Code:

Phone Number: Fax Number:

Contact Names:

Can Price quotes be obtained from a website? Yes No

Web Address:

E-Mail Address:

Category of Products Available*:

*Please be specific about what products you sell but do not list Brand Names, Model number’s or styles.For example, if you sell Heavy Equipment list what type heavy equipment you sell such as Tractors, Graders, etc. but do not tell us what company manufactures the equipment.