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New Vendor Information Form

New vendors for the City of Cumberland must complete the following steps:

1. Complete the New Vendor Information form (below), which can be submitted online.
2. Retrieve a Form W-9 (Request for Taxpayer Identification Number and Certification) from the IRS web site. The freely available Adobe Acrobat reader is required in order to view or print the form. If you need the reader, follow the Adobe link before retrieving the W-9 form. Print this form, complete it, and fax it to 301-759-6413.
You must complete both the New Vendor Information Form and the Form W-9 from the IRS website in order to be added to the city’s accounts payable system. If the Form W-9 is not completed the city will be unable to process your requests.

Alternately, mail the completed forms to:

Attn: Stephanie Wade
Form W-9 enclosed
City of Cumberland
P.O. Box 1702
57 North Liberty Street
Cumberland, Maryland 21501-1702

Vendor/Company Name:

Individual Name (sole proprietors or section 8 recipients):

Address:

City: State: Zip:

Remittance Address (if different from above):

Address:

City: State: Zip:

Contact Name:

Telephone: Fax:

Email:

Will you be providing:

Service Merchandise Both Section 8 Housing

Other information: