Philadelphia Parking Authority's Vendor Registration Form

Thank you for interest in doing business with the Authority. Please complete the form below to register with the Authority's Procurement Department.

Please describe the goods/services you provide.

Contact

Title

Company Name

Office Phone Number

Mobile Number

Email Address

Company Address

City

State

Zip Code

Is your remittance address different from the address above?

Yes

Is your company a Small or Small Diverse Business Enterprise certified by the Pennsylvania Department of General Services?

For more information or to self-certify please visit https://www.dgs.pa.gov/Small%20Diverse%20Business%20Program/Small-Diverse-Business-Verification/Pages/default.aspx

Yes

Other Designation

Do you participate in any cooperative contracts or have any government contracts?

If available, please provide your Philadelphia Business Activity License Number.

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