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W-9 Request for Taxpayer Identification Number and Certification

Registration as a Lansing Community College vendor is not complete until you complete the online W-9 Form and submit or download the W-9 Form and mail along with the completed Vendor Application to the address below: 

7130 - Purchasing Department
Lansing Community College
PO Box 40010
Lansing, MI 48901-7210

Name (as shown on your income tax return):
Business Name, If different from above.
Check appropriate selection: Individual/Sole Proprietor Partnership Corporation Other
Exempt from backup withholding
Address (number, street, and apt or suite no.) City, State, Zip Code
List account number(s) here (optional)
Federal ID Number:
OR
Social Security Number:	If you prefer not to submit your SS # online, please print form and fax to 517-483-5289 or call Purchasing at 517-483-1785 with your SS #. Thank You
Signature of U.S. Person (Please Type Name)
Date

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