HOME > Doing Business > Purchasing Surplus Property • Buyers • Annual Schedule • Notices • Application PENNSYLVANIA TURNPIKE COMMISSION Bidder’s Mailing List Application ORGANIZATIONAL DATA Company Name: PTC Vendor # (What's This?): Company Name 2:     ADDRESS TO WHICH BIDS AND PURCHASE ORDERS ARE TO BE MAILED Street Address Street Address City    State      Zip   Phone    Fax    Primary Company Email Address (Please provide a general email address such as "sales@company.com" if possible) REMIT TO ADDRESS (IF DIFFERENT THAN ABOVE) Corporate Name (if different) Street Address Street Address City State Zip TAX NUMBERS Federal Taxpayer # (What's This?)  SSN (Numbers Only. No Dashes) (If individual/Sole Proprietor)  Employer ID Number (Numbers Only. No Dashes) (If Corporation or Partnership) PA State Tax License # (Numbers Only. No Dashes) CONTACT PERSONS   Full Name Function Salesperson Accounting Clerk Accounting Manager Quality Department Sales Department Customer Service Phone Fax Mobile Email   Full Name Function Salesperson Accounting Clerk Accounting Manager Quality Department Sales Department Customer Service Phone Fax Mobile Email   Full Name Function Salesperson Accounting Clerk Accounting Manager Quality Department Sales Department Customer Service Phone Fax Mobile Email   WOMEN/MINORITY/DISADVANTAGED BUSINESS STATUS NOTE: SECTION 4107.2 OF THE PENNSYLVANIA CRIMES CODE MAKES IT A FELONY OF THE THIRD DEGREE FOR A PERSON TO OBTAIN OR RETAIN CERTIFICATION FRAUDULENTLY, OR TO MAKE A WILLFUL FALSE STATEMENT (ORAL OR WRITTEN) FOR THE PURPOSE OF INFLUENCING A CERTIFICATION DECISION. Application Status Regular Vendor Disadvantaged Business Enterpr Minority Business Enterprise Minority/Woman/Disadvantaged Minority/Woman Business Enterp Woman Business Enterp Certification Date (mm/dd/yyyy) Please forward evidence attesting to certification to: Pennsylvania Turnpike Commission Contracts Administration Department P O Box 67676 Harrisburg PA 17106 DEFINITION: Women/Minority/Disadvantaged Business Enterprise is a small business concern: is at least 51% owned by one or more socially and economically disadvantaged individuals, or, in the case of any corporation at least 51% of the stock of which is owned by one or more socially and economically disadvantaged individuals; AND whose management and daily business operations are controlled by one or more of the socially and economically disadvantaged individuals who own it. Socially and Economically Disadvantaged Individuals are citizens of the United States (or lawfully permanent residents) who are Black Americans, Hispanic Americans, Native Americans, Asian-Pacific Americans, Asian-Indian Americans, or women or other individuals found to be disadvantaged by the Small Business Administration pursuant to Section 8 (a) of the Small Business Act, as amended, or other public body. SURVEY QUESTIONS What is your preferred method of receiving Purchase Orders? Email Fax Mail If PTC offered any of the following options, would your company be willing to: Submit bids via e-mail?  Yes   No  Participate in Live Auctions via the Internet?  Yes   No  Submit invoices electronically?  Yes   No     Contact Us  |  Emergency Numbers/Contact Info  |  Terms and Conditions  |  PA Right to Know Law Information Request Commission Meeting Schedule  |  Fraud & Abuse Tip Box  |  Employment Applications  |  Transportation Links Customer Service - 800.331.3414  |  © 2010 The Pennsylvania Turnpike Commission  |  Site designed and hosted by Voicenet