Supplier Diversity Outreach Program
At S&S Supplies & Solutions, we realize that by encouraging the growth and development of woman, minority, and/or disabled veteran owned business we will create a positive impact on the communities in which we live and work. If you would like to participate as a supplier of goods and services, please fill out the form below and click submit when you've completed all required information. To learn more about our supplier diversity programs, please contact us at
Supplier Information
* Required Information
*Vendor Name
*Remit Address
Yes No
Contact Information
Ext. *Fax#
*E-mail Address
*Confirm E-mail Address
Accounts Receivable Information
Ext. *Fax#
S&S Account #
Minimum Order $
Prepaid Freight $
Credit Limit $
Federal ID #
Diversity Status
*Minority owned Yes No
*Woman owned Yes No
  *Disabled Veteran Yes No
*Certifying Agency
Additional comments