Use of the parish seal requires written consent of the Parish President or Parish Manager. Please refer to the Privacy Statement to review a copy of the law.

      Terrebonne Parish Consolidated Governments Homepage sign-up Help! Terms and Conditions Logoff

Purchasing Division - Vendor Registration Form

If you have a Foreign Address, Click here to use the foreign address form.

** Indicates a Required Field

 Enter Company Information

**Company Name:
**Contact Name:
**Phone Number: - -
Fax Number: - -
Web Site:
**Email Address:
**Business Class / Type:
 Enter Location Information
  Mailing Address
Address 2:
**Zip Code: -
  Physical Address
Same as mailing address


**Zip: -
 Enter Certifications
DBE Certified:     More Information
DBE Exp Date:  (mm/dd/yyyy)
DBE Gender: Male   Female
DBE Race:
Small Bus. Emerging (SEB):     More Information
Cert. Number:
Small Business (SBA):
DUNS Number
(no dashes):
 Enter W9 Information
**Your Name:
Business Name:
Type of Business:
Individual/Sole proprietor Corporation
Partnership Other
Exempt from backup withholding:
Same as mailing address
**Street Address:
**Zip Code : -
Account Numbers:
**Taxpayer Identification Number (TIN)
Social Security Number: - -


Employer ID Number: -
 Set Password
Must be at least 6 characters
**Verify Password:
 Security Code
  **Enter the security code from the image above.
  August 09, 2022
Terrebonne Parish Consolidated Government