Harris County Transit

A Division of Harris County Community Services

Providing alternative transportation services

  Vendor Registration

To be placed on Harris County's Vendor/Bid List complete and submit the following form. If you have product literature you would also like to send it please mail it to:

Harris County Community Services Department
Office of Transit Services
8410 Lantern Point Drive
Houston, TX  77054


 
 

Company Name:

Address:
  City:

State: ZIP:

Federal Tax ID or Social Security#:

Annual Gross Receipts of Company:

Year Established Number of Employees

Website address

Contact Person: Title:

Phone#: Fax #:

Email:

Company Ownership                  
Sole Proprietorship   Partnership   Corporate   Other
                     
Are you a Historically Underutilized Business (HUB)?(http://www.tbpc.state.tx.us/communities/procurement/prog/hub)
Yes No If yes,#
     
Are you a Disadvantage Business Enterprise (DBE)?(http://www.dot.state.tx.us/business/tucpinfo.htm)
Yes No If yes,#

List the equipment, supplies, materials and/or services you would like to be on the Vendor/Bid List for:

 

List three references that you have recently provided goods/services for.

Company Name:
Contact Person: Phone #:
Address: City State ZIP

Company Name:
Contact Person: Phone #:
Address: City State ZIP

Company Name:
Contact Person: Phone #:
Address: City State ZIP