Vendor Registration

Company Name

Contact Person

Address

Phone #

Remittance Address (if different from above)

Goods or Services Offered

SWAM qalification

Mark this box if SWAM Qualified

Business entity type ie, Corporation, LLC, Sole Proprietorship, 501.c.3.

D-U-N-S Number-if applicable

Federal Tax ID

Attach W-9

ACH Payment instructions if not included on invoices

Disclaimer acceptance

By clicking SUBMIT, you agree and acknowledge that providing information to SANDY’S about the goods and services you offer does not create a contractual relationship between you and SANDY’S and does not obligate SANDY’S to purchase goods or services from you. Please do not submit confidential or proprietary information to us until such time as a contractual relationship is established between us by a separate written agreement.