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2. RFP Name*

   List all RFP requests you are replying to. 

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. I have been approved through the Prospective Purchaser Application*

    1. Yes

    The Prospective Purchaser Application is required before submitting a Request for Proposal.  PIC will review and determine the Prospective Purchasers eligibility. After review, the board will make a recommendation to approve the prospective purchaser as qualified. 

18. Proposal*
19. Additional Proposal
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field