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Gaston County Schools - …

Revised 9/9/13 Order Address (Purchase Orders sent Remit To Address (Payment sent to:) Name Name Address Address City City State Zip County State Zip County Federal ID Number OR Social Security Number (if applicable) E-Mail: Contact Person Telephone Number ( ) Fax Number ( ) Gaston County Schools Purchasing Dept. 1351 Bradford Heights Rd., Gastonia, NC 28054 Phone: (704) 810-8802 Fax: (704) 866-6140 Email: VENDOR APPLICATION To qualify for a Minority Business Enterprise status, your business must be certified by the NC Office of Historically Underutilized Businesses, 51% of your business must be owned and controlled by a minority group, woman, or the disabled. For the purpose of this definition, Minority Business Enterprise members are African Americans, Asian Americans, Hispanic, Native Americans, Women and/or the Disabled.)

Revised 9/9/13 Order Address (Purchase Orders sent Remit To Address (Payment sent to:) Name Name Address Address City City State Zip County

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