New Vendor Information Form

Business Name *

Contact Name *

Contact Email *

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you a local vendor (within 150 miles of TPSS Co-op)? *

Are you a hyper-local vendor (within 2 miles of TPSS Co-op)? (copy) *

Name of Business Owner

Type of Business *

Federal Tax ID Number

Social Security Number

Complete only if no Federal Tax ID is available.

Name of TPSS Co-op Buyer *

How were you referred to sell at TPSS Co-op? *

Please disclose any personal or professional relationships with any TPSS Co-op employees. *

Terms *

TPSS Co-op's standard term is Net 30. Payments, however, are processed as invoices are received.

W-9 Upload *

Click or drag a file to this area to upload.

Upload your scanned W-9 here.

Please upload a current wholesale price list.

Click or drag a file to this area to upload.

HOURS