Bureau of Financial Management

hdgreene@harrisburgpa.gov

10 North 2nd Street, Suite 302A Harrisburg, PA 17101

717-255-6472

Document Signers
    • 1 Signer1

    • 2 Charles White

    • 3 Marc Woolley

Form Section 1

Vendor Registration Form

What is the purpose of your registration? *
Form Section 2

Company Information

Purchase Order Information

Form Section 3

Additional Information

Please upload a copy of your most recent W-9 form. (The City is only accepting November 2017 or later signed W-9 forms.) *

You have not uploaded a file. Please upload a file to continue.

Type of Vendor *
Business Entity *
Certification
Please upload a document as proof of your certification *

You have not uploaded a file. Please upload a file to continue.

Ownership Race/Ethnicity *
Ownership Gender *
Business Type *
Professional Services
Non-Professional Services
Construction Related
Goods and Supplies