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Business Information

Vendor Information Form
As per Public Act (P.A.) 102-0265, the City of Geneva, in a good faith effort, is collecting and publishing certain vendor information pertaining demographic information. The City is also using the information provided to update vendor contact information records.
Any vendor with a business relationship with the City must report if the business meets any criteria defined by the Business Enterprise Program. In order to submit this form, a Portable Document File (.PDF) copy of Form W-9 is required. If you have any questions, please contact AP@geneva.il.us or call the Finance Department at 630-232-0854 during operating hours.
Type of Request
1. Add New Vendor
2. Update Existing Vendor
Previous Vendor Name
Individual or Legal Business Name*
DBA (if applicable)
Checks Payable To
Accounts Receivable Contact Name*
Physical Address 1*
Physical Address 2
City*
State*
Zip*
Remittance Address 1*
Remittance Address 2
City*
State*
Zip*
Company Website
Email*
Phone Number*
Form W-9*
Please attach a copy of Form W-9 as a Portable Document File (.PDF).
Continue

Signature*
1. By checking this box, I confirm that the information provided on this form is valid. Unless a certificate is supplied, the undersigned is self-certifying the above information is true.
Filer Name*
Filer Title/Position*
Filer Email*
Filer Phone Number*

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