WebGrants - Arizona State Parks

Personal Information

Name:*


Salutation	First Name	Middle Name	Last Name

Title:

Email:*

Confirm Email*

Address:*


City	State/Province	Postal Code/Zip

Phone:*


Phone	Ext.

Fax:

What Program Area are you interested in?

Organization Information

Are you Affiliated with an Organization?

Yes No

Organization Name:*

Organization Type:

Enter State Vendor Number. 1. If you do not have a vendor number please register now. 2. The last possible date to register in Procurement is 30 days after award has been approved by the Parks Board. 3. In order to be reimbursed your agency must be registered within the State Procurement system.

VENDOR NUMBER*

https://app.az.gov or Help Desk @602-542-7600

Remit Address is the address where Parks would send the payment to your agency.

The Remit Address must match what the AZ Procurement System has. If these addresses don't match reimbursement may be delayed weeks or longer.

ADDRESS CODE:

REMITTANCE ADDRESS

Organization Website:

Address:*


City	State/Province	Postal Code/Zip

County

Phone:*


	Ext.

Fax:

E-mail Address*

Verify Submission