°ëµºÌåÓý

Select one:
New VendorUpdate Vendor Information

Company Information

Company Legal Name

DBA (if applicable)

Company Address

City

State
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Remit-to Address (if different)

Company Phone Number

Company Website Address

DUNS Number

NAICS Code

Ownership
Individual/Sole-ProprietorC CorporationS CorporationPartnershipTrust/EstateLLC � CLLC � POther

IRS Form W-9

(Instructions and form-fillable version available from IRS web site.)

Contact Information

Primary Contact Name

Primary Contact Title

Primary Contact Phone

Primary Contact Email Address

Primary Contact Fax Number

Describe Your Products/Services

Are you a green provider?
YesNo

Upload Your Company Product/Service Brochure (optional)

Trellis Requirements

Enrollment does not guarantee you will 1) receive an invitation to bid, 2) present your products and/or services, 3) that we (°ëµºÌåÓý) will contact you, or 4) that you will be awarded a contract. 
Enrollment also does not create any contractual or other obligations between you and °ëµºÌåÓý or any of its affiliates.
We (°ëµºÌåÓý) expect our vendors and their employees, agents, and subcontractors to adhere to the same standards of conduct and behavior that we expect from our own employees. If you are awarded a contract, we will require you to agree to comply with the °ëµºÌåÓý Business Code of Conduct.
Please confirm that if selected by us to provide goods or services you would agree to the °ëµºÌåÓý Business Code of Conduct.
YesNo
Have you provided products or services for °ëµºÌåÓý and/or its affiliates in the past?
YesNo
Have you or any of your employees previously worked for °ëµºÌåÓý and/or its affiliates?
YesNo