Lake Whatcom Water & Sewer
District
Vendor List Application
When
completed mail, email, or fax to:
Email: VendorList@lwwsd.org
Fax:
|
Business
Name |
|
|
DBA |
|
|
Address |
|
|
City,
State Zip |
|
|
Remittance
Address (if different than above) |
|
|
City,
State Zip |
|
|
|
|
|
FEIN
Number |
|
|
Contact
Name |
|
|
Phone
Number |
|
|
Fax
Number |
|
|
Email |
|
|
|
|
|
Services/Goods
Provided |
|
Signature
________________________________________________________
Date: ____________________