Prequalified Supplier Application
List the products and/or services that you provide
Personal Protective Equipment (PPE)
Professional Services
Discount Terms: As we anticipate providing marketing and assistance during this pandemic that may increase leads to your business, we are asking suppliers to consider discounts to companies in our region of at least 10%.
Payment Terms: Typically, we anticipate 1⁄2 down upon request with final payment upon completion of services or delivery of goods.
Federal Tax Classification
To complete this application, please enter your name in the field below.
By entering my name below, I certify that all of the information listed above is accurate.
Thank you!
