Vendor Registration

NOTE: * indicates required fields.

*	Company Name:
*	Mailing Address (Line 1):
	Mailing Address (Line 2):
*	City:
*	State:
*	Zip:
	Contact Person:
*	Telephone:
	Fax:
	Email Address:	In order to be notified by email of new bid postings pertaining to your commodity or service, please fill out this field:
	Web: Please use the full URL. Example: http://www.mycompany.com

Commodity or Service Areas:

Please select three commodity or service categories which best categorize your company. These will be used to notify you of future solicitations. If only one category is applicable then select "000000 | Not Applicable" for your other two choices. If there are no categories which meet your needs, please call (203) 401-2505.

Additional Public Information:

Disclaimer: The Regional Water Authority has the right to remove any vendor or vendor information without notice which maybe inappropriate for municipal use and to accept only those responses deemed in the best interest of the Regional Water Authority.

By submitting this form you are agreeing that all information provided is true and accurate. If you require any changes to this information in the future, please contact the RWA Purchasing Manager directly at pbocciarelli@rwater.com. Please write "vendor information change" in subject line. Your information will be kept for approximately one year. We will notify you when you should re-register.