To be included on the City's Bid Mailing List - 
You may download a PDF version of the application and mail to: City of Cape Canaveral, ATTN: Purchasing Dept, 105 Polk Ave., Cape Canaveral, FL  32920

Please provide the following contact information:

Name
Title
Organization
Business Phone
Business FAX
E-mail
URL

OCCUPATIONAL LICENSE(S):

Choose one of the following:

City
County
State

Choose one of the following Type of Business options:

Manufacturer/Producer
Wholesaler
Retailer
Distributor
Manufacturer's Agent
Jobber

Please choose type of Organization:

Individual
Partnership
Corporation

Names of Officers, Members, Or Owners of Concern, Partnership, Etc.

President Name Vice President Name Owner(s) or Partner(s)

Person(s) to contact on matters concerning bids and contracts:

Name, Address, Phone Number & Fax

Please provide the following product/service information: 

Enter the date:

-- mm/dd/yy  

Signature:
Title: