Fax this form to (206) 373-9630, or call (800) 711-1712 and register with an Onvia Representative.Page 1

Onvia Supplier Services 866-276-2728(fax)

Hours: 9 a.m. to7 p.m. ET,M-F

509 Olive Way, Suite 400, Seattle, WA 98101

Federal ID # 91-185-9172

Fax this form to (866) 276-2728 or email to age 1

ONVIA DEMANDSTAR SELECTREGISTRATION FORM

To Complete your DemandStarRegistration or Upgrade of Subscription:

1) Fill out the form below.

2) Fax completed form with credit card information to(866) 276-2728 or email to .

3) A Registration Confirmation will be emailed to you after account setup is complete.

4) Login to your Demandstar account to review the commodity codes selected for your account and make changes as appropriate.Your automatic notifications will be based on these commodity codes.

1) NOTIFICATION OPTIONS/SETTINGS:

Company Name (required):______

Contact Person (required):______Title/Position:______

Mailing Address (required): ______City: ______State:______Zip:______

E-mail Address(required):______

Phone Number (required):______Fax Number (optional):______

Time Zone: ______

2) NOTIFICATION SETTINGS/COMMODITY CODES:

List the goods and/or services your company offers so that we may select initial commodity codes for you. (Be as thorough as possible. Do not use brand names or abbreviations.) Examples: “pipeline construction,” “bridge resurfacing,”
“roofing,” “file folders,” “community development consulting,” “food distribution services,” etc.

______

______

3) SELECT AN AGENCY:

Select 4 – 8 DemandStarcounties you would like to subscribe to by checking the appropriate boxes on pages 2-5. OnviaDemandStarcounties cover the agencies listed.THIS SUBSCRIPTION OPTION DOES NOT COVER ALL AGENCIES WITHIN THE SELECTED COUNTIES. IT WILL ONLY COVER THE DEMANDSTAR AGENCIES LISTED WITHIN THE COUNTY. For information regarding Statewide, Multi-stateor Nationwide services, please contact anOnviarepresentative at 1.800.575.1736.

Minimum subscription of 4 Counties is $100per year and each additional County is $25 per year with a maximum subscription of 8 Counties.

Once your registration is complete, a Registration Confirmation will be e-mailed to you. Please review all your information and commodity codes.

4) Credit Card Information:

Credit Card Type:American Express Visa MasterCard Discover

Credit Card Number: ______Exp Date:

Name as it appears on card:

Billing Address: Street: ______City:

State:______Zip Code:______

Signature: Date:

Available Agencies

Fax this form to (866) 276-2728 or email to age 1

ALASKA

Juneau Borough County

City and Borough of Juneau

Matanuska-Susitna County

City of Wasilla

ARIZONA

Coconino County

Coconino County

Mojave County

City of Bullhead City

Lake Havasu City - Finance-Budgeting Division

Lake Havasu City - Public Works Department

Yavapai County

Town of Prescott Valley

CALIFORNIA

Alameda County

Zone 7 Water Agency

Oakland Housing Authority

Los Angeles County

City of Redondo Beach

San Diego County

City of San Diego

San Diego Housing Commission

San Diego Unified School District

Sweetwater Union High School District

Santa Clara County

City of Sunnyvale

Cupertino Union School District

COLORADO

Adams County

City of Westminster - Purchasing

CONNECTICUT

Hartford County

Town of Windsor

FLORIDA

Alachua County

Alachua County - Purchasing Division

Alachua County Library District Purchasing Department

City of Gainesville - Purchasing Department

Baker County

Baker County – Board Commissioners

Bay County

Bay County – Board of County Commissioners

Brevard County

Brevard County - Purchasing Services

Brevard County Sheriff’s Office

City of Cocoa

City of Melbourne

City of Melbourne Airport Authority

City of Palm Bay

City of Titusville

School Board of Brevard County

Space Florida

Broward County

Broward College

Broward County Housing Authority

City of Cooper City

City of Dania Beach

City of Hallandale Beach

City of Hollywood - Community

Redevelopment Agency

City of Hollywood – Department of Public Services

City of Hollywood - Office of Budget

and Procurement Services

City of Lauderdale Lakes

City of Lauderhill

City of Lighthouse Point

City of Miami Gardens

City of Miramar

City of Oakland Park

City of Parkland

City of Plantation –Purchasing

City of Sunrise

City of Weston

City of West Park

South Broward Drainage District

The School Board of Broward County, FL - Facilities and Construction Management Division

The School Board of Broward County, FL - Supply Management and Logistics Department

Town of Lauderdale-By-The-Sea

Town of Southwest Ranches

Citrus County

Citrus County - Board of County Commissioners

Collier County

City of Marco Island – Purchasing and Contracts

City of Naples - Purchasing Division

Collier County Clerk of Circuit Court

District School Board of Collier County

Columbia County

City of Lake City - Purchasing Department

DeSoto County

DeSoto County - PurchasingDepartment

The School District of DeSoto County

Duval County

Duval County Public Schools - Facilities, Planning Construction

Duval County Public Schools - Purchasing Services

Escambia County

City of Pensacola

Escambia County School District

Flagler County

City of Bunnell

Flagler County - Board of County Commissioners

Gadsden County

City of Gretna

Hardee County

Hardee County – Purchasing Department

Hernando County

Southwest Florida Water Management District

Hillsborough County

Children’s Board of Hillsborough County

City of Plant City

City of Tampa - Purchasing Department

City of Tampa - Contract Administration Department

City of Temple Terrace

Hillsborough County - Board of County Commissioners

Tampa Port Authority

Tampa-Hillsborough Expressway Authority

Hillsborough County Public Schools

Indian River County

City of Sebastian

City of Vero Beach - Purchasing Division

Indian River County - Division of Purchasing

Lake County

City of Eustis - Purchasing Department

City of Mount Dora - Purchasing Department

City of Tavares

Town of Lady Lake

Lee County

City of Cape Coral

Lee County Port Authority

Town of Fort Myers Beach

Leon County

City of Tallahassee

Leon County - Purchasing Division

Leon County School District - Purchasing Department

Manatee County

Manatee County Port Authority

Manatee County – Purchasing Department

Town of Longboat Key - Purchasing Division

Marion County

College of Central Florida

Marion County - Purchasing Department

Martin County

City of Stuart - Purchasing Division

Martin County -Purchasing Division

The School Board of Martin County

Miami-Dade County
City of Aventura

City of Doral

City of Florida City

City of Homestead

City of Miami Springs

City of North Bay Village

City of North Miami - Purchasing

Department

City of North Miami Beach

City of Opa-locka

City of South Miami

City of Sunny Isles Beach

Miami-Dade County Public Schools

Town of Golden Beach

Town of Surfside

Village of Key Biscayne

Village of Pinecrest

Monroe County

City of Key West

City of Marathon

Florida Keys Aqueduct Authority

Florida Keys Mosquito Control District

Islamorada, Village of Islands

Key Largo Wastewater Treatment District

Monroe County – Purchasing

Department

Monroe County School District

Utility Board of the City of Key West

Nassau County

City of Fernandina Beach, FL

Nassau County - Board of County Commissioners

Orange County

City of Ocoee

City of Apopka

City of Apopka - Public Services Department

Florida Virtual School

Greater Orlando Aviation Authority - Concessions Department

Orange County Public Schools

Orlando Housing Authority

Town of Windermere

Osceola County

City of Kissimmee - Purchasing Division

City of St. Cloud

Kissimmee Utility Authority - Purchasing Department

Osceola County - Procurement Services

Toho Water Authority - Engineering Department

Toho Water Authority - Purchasing Office

Palm Beach County

City of Boynton Beach

City of Delray Beach

City of Lake Worth

City of Palm Beach Gardens

City of Riviera Beach

Health Care District of Palm Beach County

School District of Palm Beach County

Seacoast Utility Authority

Town of Jupiter

Town of Lake Park

Town of Palm Beach

Village of North Palm Beach

Village of Wellington

Pasco County

City of New Port Richey

City of Zephyrhills

District School Board of Pasco County - Purchasing Department

Pinellas County

City of Dunedin

City of Oldsmar

City of St. Petersburg

City of Tarpon Springs

Juvenile Welfare Board of Pinellas County

Pinellas County - Board of County Commissioners

Pinellas Suncoast Transit Authority

Tampa Bay Water

Polk County

City of Haines City

City of Lake Wales

City of Polk City

Lakeland Area Mass Transit District d/b/a The Citrus Connection

Putnam County

City of Crescent City

City of Palatka

St. Johns River Water Management District

St. Johns County

City of St. Augustine

City of St. Augustine Beach

St. Augustine-St. Johns County Airport Authority

St. Johns County - Purchasing Department

St. Johns County School District

St. Johns County VCB

St. Lucie County

City of Fort Pierce - Purchasing Department

City of Port St. Lucie - Office of Management & Budget

Fort Pierce Utilities Authority

St. Lucie County Fire District

St. Lucie County - Purchasing Department

The School District of St. Lucie County - Purchasing Department

Sarasota County

City of North Port

City of Sarasota - Purchasing Division

City of Venice, FL

Sarasota County - Procurement

Sarasota Manatee Airport Authority

The School Board of Sarasota County, Florida

Seminole County

City of Casselberry

City of Lake Mary - Purchasing Department

City of Longwood - Purchasing Division

City of Oviedo - Purchasing Division

City of Winter Springs - Purchasing Department

Seminole County Public Schools

Sumter County

Sumter County - Board of County Commissioners

Village Community Development Districts

Suwanee County

Suwanee County BOCC

Volusia County

City of DeLand

City of Deltona - Purchasing and Building Services

City of Edgewater

City of New Smyrna Beach

City of New Smyrna Beach –Utilities Commission

City of Orange City

City of Ormond Beach - Purchasing Office

City of Port Orange - Finance Department

GEORGIA

DekalbCounty

Dekalb County School District

Habersham County

Habersham County - Board of Commissioners

Muscogee County

Columbus Consolidated Government

Richmond County

City of Augusta, GA (Augusta Commission)

IDAHO

Ada County

City of Boise

Joint School District No. 2

Twin Falls County

City of Twin Falls

ILLINOIS

Cook County

City of Evanston

Village of Oak Park

Village of Winnetka

DuPage County

City of Naperville - Procurement Services Office

City of Wheaton

DuPage County - Procurement Services

DuPage County Health Department

Forest Preserve District of DuPage County

Village of Downers Grove

Village of Lisle

Lake County

Village of Gurnee

McHenry County

City of Crystal Lake, IL

Will County

City of Naperville - Procurement Services Office

Will County Government

Winnebago County

Rockford Park District

Rockford Public School District #205

Rockford Housing Authority

INDIANA

Allen County

Allen County - Purchasing Department

KANSAS

Douglas County

City of Lawrence

Douglas County, KS

Johnson County

Johnson County, KS - Purchasing Division

Water District No.1 of Johnson County

Miami County

Miami County, KS - Purchasing and Contract Services

Wyandotte County

KC Board of Public Utilities

KENTUCKY

Jefferson County

Louisville Metro Government - Division of Purchasing

MARYLAND

Worcester County

Town of Berlin

MICHIGAN

Genesee County

Hurley Medical Center

Wayne County

Detroit Public Schools - Department of Contracting and Procurement

MINNESOTA

Ramsey County

Ramsey County (Contract and Analysis Services)

St. Louis County

St. Louis County, MN - Purchasing Department

MISSOURI

Cass County

City of Peculiar

City of Raymore

Clay County

Clay County, MO - Purchasing Department

Christian County

City of Nixa

Green County

City of Springfield, MO - Purchasing Division

Greene County Purchasing Department

Jackson County

City of Kansas City, MO

City of Raytown

Hickman Mills C-1 School District

Little Blue Valley Sewer District

Mid-America Regional Council (MARC) - Kansas City Regional Purchasing Cooperative

Taney County

City of Branson

NEVADA

Clark County

City of Henderson

City of Las Vegas

City of North Las Vegas– Engineering Services

City of North Las Vegas - Purchasing and Risk Management

Clark County School District - Purchasing/Warehousing Department

Clark County Water Reclamation District

Henderson District Public Libraries

Las Vegas Metropolitan Police Department

Washoe County

City of Sparks

Truckee Meadows Fire Protection District

Washoe County - Purchasing

Washoe County School District - Purchasing Department

NORTH CAROLINA

Catawba County

Catawba County

Mecklenburg County

Charlotte Housing Authority

Pitt County

City of Greenville

OHIO

Butler County

City of Hamilton

Clark County

City of Springfield, OH - Purchasing Division

Clermont County

Clermont County - Board of Commissioners

Hamilton County

City of Cincinnati - Purchasing Division

Hamilton County Park District

Trumbull County

Trumbull County, OH

OKLAHOMA

Oklahoma County

City of Del City, OK

Oklahoma City - County Health Department

Oklahoma County - Central Purchasing Department

OREGON

Multnomah County

City of Gresham – Purchasing office

PENNSYLVANIA

Bucks County

Bucks County Free Library

Bucks County - Purchasing Department

SOUTH CAROLINA

Lexington County

County of Lexington - Procurement Services

Spartanburg County

City of Spartanburg

TEXAS

Bell County

City of Killeen

City of Temple

Bowie County

City of Texarkana

Bexar County

City of San Antonio - Purchasing and General Services

San Antonio Water System

Collin County

City of Frisco

City of McKinney

Comal County

New Braunfels Utilities - Purchasing and Material Management

Coryell County

City of Copperas Cove

Dallas County

City of Carrollton

City of Cedar Hill

City of Lancaster

Richardson Independent School District

Ellis County

City of Midlothian

Fort Bend County

City of Missouri City - Purchasing

Harris County

City of Pasadena

San Jacinto Community College District

Johnson County

City of Cleburne

McLennan County

City of Waco

Midland County

Midland Independent School District

Tarrant County

City of Arlington

City of Hurst - Finance Department

City of Watauga

Tarrant County Regional Water District

Travis County

Capital Metropolitan Transportation Authority

Texas Association of Community Colleges

VIRGINIA

Chesapeake City Area

Chesapeake Public Schools - Purchasing Department

City of Chesapeake

Southeastern Public Service Authority - Purchasing Office

Newport News City Area

City of Newport News –Office of Purchasing

Newport News Public Schools

The George Washington University

Norfolk City Area

City of Norfolk - Department of Public Works

City of Norfolk - Department of Utilities

City of Norfolk - Office of the Purchasing Agent

Portsmouth City Area

City of Portsmouth - Purchasing Department

Hampton Roads Regional Jail Authority

Portsmouth Public Schools - Purchasing Department

Suffolk City Area

City of Suffolk

Virginia Beach City Area

City of Virginia Beach - Purchasing Division

Virginia Beach City Public Schools - Purchasing Services

WISCONSIN

Brown County

Brown County - Purchasing

City of Green Bay

Northeast Wisconsin Technical College

Dane County

City of Fitchburg

City of Madison - Purchasing Services

Madison Area Technical College

Douglas County

City of Superior

Dunn County

Dunn County - Purchasing

Eau Claire County

Chippewa Valley Technical College

City of Eau Claire

Eau Claire Area School District

Eau Claire County - Purchasing Department

City of Altoona

Fond du Lac

Moraine Park Technical College

Marathon County

Northcentral Technical College

Milwaukee County

Milwaukee County Transit System

Milwaukee Area Technical College

Oneida County

Nicolet Area Technical College

Outagamie County

Fox Valley Technical College

Rock County

Blackhawk Technical College

Sauk County

Sauk County - Administration

Walworth County

Walworth County - Purchasing

Winnebago County

Winnebago County - Purchasing Department

WTCS Purchasing Consortium

Fax this form to (866) 276-2728 or email to age 1