PLAQUEMINES PARISH GOVERNMENT PURCHASING DEPARTMENT
8056 HWY 23, SUITE 201B • BELLE CHASSE, LA 70037
Phone: 504-297-5590 • Fax: 504-297-5599
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Please complete all fields below and submit form. Fields mared with an * are required.
Note: Plaquemines Parish Government does not conduct business with any vendor where and employee of Plaquemines Parish Government or their immediate family has an interest in that business.
*Your First and Last Name:
*City, State, Zip Code:
*Tax ID #:
*Name of officers, members or owners of concern, partnership, etc:
*Indicated classes of equipment, supplies, materials, and/or services you sell or offer:
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electronic signature verifying all information above is accurate.