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
*City
*State
*Zip
 
*Incorporated?
Yes No
 
Contact Information
 
*Name
*Phone#
Ext. *Fax#
*E-mail Address
*Confirm E-mail Address
 
Accounts Receivable Information
 
*Phone#
Ext. *Fax#
S&S Account #
 
Minimum Order $
Prepaid Freight $
Credit Limit $
Federal ID #
Terms
 
Diversity Status
*Minority owned Yes No
*Woman owned Yes No
  *Disabled Veteran Yes No
*Certifying Agency
 
Additional comments