City of Marietta Purchasing Vendor Additional Information

Purchase Order Information

Purchase Order Vendor Name *
Address
City
State
Zip
Contact Name
Phone #
Email Address

Remittance Information

Remittance Name
Address
City
State
Zip
Contact Name
Phone #
Email Address
Tax ID
Name on Checks
W-9 (required) *

EFT Information

If a purchase order is issued under your vendor, then we will request your EFT information at that time