Vendor Application – FCSA – Florida Charter School Alliance

Organization*

Primary Contact Name*

First Last

Position/Title*

Email*

Mailing Address*

Street Address Address Line 2 City State ZIP / Postal Code

Is the billing address different from your mailing?*

Billing Address*

Street Address Address Line 2 City State ZIP / Postal Code

Phone*

Company Website*

About your products/services*

Other*

Describe your company’s services/products (50 words max). This will appear on the FCSA Marketplace page*

Do you have experience working with charter schools?*

if yes, please list names of reference schools you have worked with.*

Please upload a company logo (JPG, PNG, TIFF, GIF or ESP), for use on the FCSA website or send it to: Lynn@flcharteralliance.org*

Accepted file types: jpg, gif, png, pdf, tif, eps, Max. file size: 2 MB.

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