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Rodgers Builders - Vendor Prequalification Form (Page 1)

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Rodgers Builders - Vendor Prequalification Form
Vendor Prequalification Form
The Undersigned certifies under oath that the information provided herein is true and sufficiently complete
so as not to be misleading.
Submitted to:
Rodgers Builders, Inc.
Phone: 704/537-6044
5701 North Sharon Amity Road
Fax: 704/566-9295
Post Office Box 18446
Charlotte, NC 28218
Company Name:
Mailing Address:
Street Address:
Principal Office:
Contact Name:
Phone:
Fax:
Name of Project (if applicable):
Type of Work (file separate form for each classification of work):
General Construction
HVAC
Plumbing
Electrical
Other
Rodgers
Builders
General
Contractors
(please specify)

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