New Vendor Information Form Please enable JavaScript in your browser to complete this form.Business Name *Contact Name *Contact Email *Phone *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you a local vendor (within 150 miles of TPSS Co-op)? *YesNoAre you a hyper-local vendor (within 2 miles of TPSS Co-op)? (copy) *YesNoName of Business OwnerType of Business *Federal Tax ID NumberSocial Security NumberComplete 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. NameSubmit