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Vendor Application Form
Vendor Application Form
Date
Category
(select one)
Arts, Crafts, Hobbies
Automotive
Banking
Beauty, Health, & Fitness
Books/Cards/Gifts
Business/Office Supplies
Clothing & Accessories
Electronics, Computers, & Communications
Entertainment
Florists
Food & Restaurants
Health Care
Home Furnishings & Maintenance
Laundry/Dry Cleaning Services
Miscellaneous
Professional Services
Sporting Goods
Travel Services & Supplies
Company Name
Contact Person
Address
City
State
Zip
Phone
Fax
E-mail
Web site
Amount/Type of Discount Offered
Who does the offer apply to?
(check all that apply)
Students/Residents
Faculty
Staff/Fellows
Description of your offering/business
Owner or manager
How many WildCARD Advantage window stickers do you need?
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University Services 2020 Ridge Avenue, 2nd Floor Evanston, IL 60208-4303
Phone: 847-491-7569 Fax: 847-491-3849 E-mail:
univsvcs@northwestern.edu
Last updated 11/21/2005
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