IF YOU WISH TO BE PLACED ON THE SMALL WORKS ROSTER OF THE PORT OF WALLA WALLA, THE FOLLOWING APPLICATION MUST BE COMPLETED IN ALL PARTICULARS. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
FURTHER QUESTIONS CONCERNING THIS APPLICATION MAY BE DIRECTED TO BECKY HULSE, (509) 525-3100.
Roster effective dates: January 1 - December 31, 2010.
*Name of Company:
*Address:
*City, State, Zip:
*Phone Number (include area code):
Fax Number (include area code):
*Contact Person:
*Contact Person's E-mail Address:
Company Website (if applicable):
*Federal Tax Identification #
*State of Washington Contractor's Registration #
*Name of Bonding Company:
*Amount of Bond:
*Bond Number:
*Date:
*Prepared By:
*Title:
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