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2. Contact the Finance Department

   P.O. Drawer 400
   2671 San Angelo
   Ingleside, TX 78362

   Phone: 361-776-2517
   Email the Finance Department

4. Name or Business Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Email Address*
13. Business Phone Number*
15. Choose from the following categories that your business can provide routine services to the City of Ingleside*

    1. Mowing
    2. Fencing
    3. Roofing
    4. A/C Service
    5. Construction Services
    6. Food Service
    7. Irrigation
    8. Plumbing
    9. Electrical
    10. Mechanical
    11. Tree Service
    12. Wrecker
    13. Other
17. Along with this application you must furnish the following in order for your business to participate in the Round Robin process:

    1. Form W-9
    2. Vendor Registration Form
19. Routine and emergency services will be awarded on a round robin basis to those vendors on the round robin vendor list.
21. Name
23. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature*
26. Date*
    Date
30. Office Use Only
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field