mta.info

Bidder's List Application Form
MTA Headquarters

Please type the correct information in the boxes below, print out the page using your browser, and mail the printed copy to Fahmida Begum at 347 Madison Avenue, New York, NY 10017 or fax it to her at 212-878-7429. Please note that this form cannot be processed without the company's Federal ID/Tax No.

Please refer also to "Doing Business With the MTA ."

Company Name   
Address 1  
Address 2  
City  
State            Zip:
Federal ID/Tax No.  
Contact  
Title  
Phone  
Fax  
Bidders List  

Refer to the list of SIC codes for goods and services and list the items on which you wish to bid.

Attach a separate sheet to list additional SIC codes.
SIC Code  
SIC
Description 		 
Disadvantaged
Business
Enterprise 		 

DBE Yes        No
Certified by:
         MTA      NYCT      SBA (8A program)
Certificate Pending:
         MTA      NYCT

For more information regarding Disadvantaged Business Certification, write to the Director of the Office of Civil Rights, MTA, 347 Madison Avenue, New York, NY 10017 or call 212-878-7153.

Signature