Missouri Basin and Arkansas-Rio Grande-Texas Gulf Regions

Vendor Information Sheet

Notice to Vendors: if you wish to remain/be included on our procurement mailing list please complete this form and return it to the address below: (Submission of a new form is not necessary if you have completed one in the past 12 months, but you should update any information that has changed.)

Bureau of Reclamation
Regional Acquisition and Property Management Office
PO Box 36900
Billings MT 59107-6900

Required Information:

__________________________________________________________
Company Name
__________________________________________________________
Mailing Address
_____________________________________	________	__________
City	State	Zip
DUN's No. (If available)______________________________
Types of Products or Services Offered (Please provide SIC and/or PS Codes)__________________________________
We are interested in doing business in the following states: [ ] Colorado [ ] Kansas [ ] Montana [ ] Nebraska [ ] North Dakota [ ] Oklahoma [ ] South Dakota [ ] Texas [ ] Wyoming [ ] All the above

Required If Applicable:

Business Type/Size (Check all that apply):	[ ] Woman Owned [ ] Minority Owned
	[ ] Emerging Small Business [ ] Small Business
	[ ] 8a (Certified)

Size of Small Business:	Number of employees (past 12 months)
	and/or Average Gross Receipts (last 3 fiscal years)
Tax Exemption Code__________________

Optional Information:

Telephone No.: FAX No.:	______________________________________
Contact Person:	_________________________________________________________
	(Name)	(Title)
E-mail Address:	________________________________________