Find Chesapeake in your area

  • Natural Gas Plays

    • Barnett Shale
    • Haynesville Shale
    • Marcellus Shale

  • Liquids Plays

    • Eagle Ford Shale
    • Niobrara Shale

  • Operating States

    • Ohio

Vendors

Vendor Registration Form

Today's date (mm/dd/yyyy)
Company name
Year founded
Number of employees
Contact Person First Name
Contact Person Last Name
Title
Physical address
Mailing address (if different from above)
City
State
Zip code
Phone
Email
Company website
Type of organization



Which department should receive information about your product or service? (check all that apply)




















If "other," please specify:
Type of service or product your company provides (please be specific)
Federal Tax ID #
Are you M/WBE certified?

If so, which one?

Review this application to ensure accuracy of the information provided.


*Registration does not imply a contractual agreement is in place, or an obligation for procurement by Chesapeake.

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