Vendor Name        

Vendor Address         City      Zip Code    

Contact Name  

Telephone             Email        

Type of work performed:  Please select one Asphalt/Paving Concrete Electrical General Contractor Plumbing Painting Pool service Pool repairs/surfacing Restoration/Remediation Other If other, please specify:         

Proposed Lunch & Learn dates:   Amount of time required for topic:     

Topic(s) to be covered:   

Will there be written materials provided at the meeting?  Please select Yes No

If yes, please attach any materials to be reviewed at the meeting