Vendor Registration | Corporate Info | Doing Business | Procurement | Vendor Registration Business Information Legal Business Name and DBA (if applicable)* Street Address* City* State* Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP Code* Website Federal Employer Identification Number (FEIN/EIN) or Tax ID Number (if applicable)* Years in Business* Primary Contact Information Primary Contact Name* Title* Phone Number* Email Address* Preferred Method of Contact Email Phone Remittance Information Same as Business Address Remittance Address (If different from above): Street Address City State Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP Code Remittance Contact Name Remittance Email Address Remittance Phone Number Active Certifications Held Select all that apply None DBE – Disadvantaged Business Enterprise SBE – Small Business Enterprise MBE – Minority Business Enterprise WBE – Women Business Enterprise VBE – Veteran Business Enterprise SDVOSB – Service-Disabled Veteran-Owned Small Business HUBZone – Historically Underutilized Business Zone Business Category Select all that apply Construction Architecture & Engineering (A/E) Services Professional / Consulting Services Information Technology (IT) Transportation & Transit Services Maintenance & Repair Services Supplies, Equipment & Materials Manufacturing / Fabrication Marketing, Communications & Creative Services Staffing & Human Resources Services Other: Brief Description of Goods and/or Services Please provide a brief description of the goods and/or services your business provides.* NAICS and/or Commodity Codes (if known) Providing applicable NAICS or commodity codes helps LYNX identify relevant procurement opportunities. Business Interest Select all that apply Prime Contract Opportunities Subcontracting Opportunities Acknowledgments / Certifications I understand registration does not guarantee award of work. I understand all procurements are governed by the solicitation documents and applicable laws. I understand vendor information submitted may be subject to Florida Public Records Law. I certify that the information provided herein is true and correct to the best of my knowledge. I further certify that neither the applicant, its principals, nor any affiliated person or entity is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any governmental department or agency. Upload W-9 [Upload File] Upload Capability Statement [Upload File] Submit
