Supplier Submission Form

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Welcome! We are strongly dedicated to creating the most effective and mutually beneficial relationship possible with each of our existing and potential suppliers. Please complete this form in its entirety and click submit. Your information will be forwarded for analysis and retained in our database. We will contact you if an appropriate business opportunity should arise. Thank You

Supplier Diversity Program

Harland Clarke Procurement takes proactive measures to enable small businesses, and those owned by minorities, women, veterans and service-disabled veterans, to fully participate as an integral part of our supplier base. To learn more about our Supplier Diversity Program, click here.

Company Affiliation (you must select at least one)




General Supplier Information
Supplier Contact Information
Diversity Supplier (required fields)

Diversity Supplier Definitions:

To qualify as a Minority, Disadvantaged, Women-owned, Veteran or Service Disabled Veteran-owned business enterprise, a business must:
  1. Maintain at least 51% ownership of their business.
  2. Maintain daily control of their business.
To qualify as a Small business enterprise, a business must:
  1. Meet the size standards described on the Small Business Administration size standard tables found at: http://www.sba.gov/idc/groups/public/documents/sba_homepage/serv_sstd_tablepdf.pdf

Select which classification(s) best describes your business.

If you have been certified through an agency, please provide the following information:

If you have NOT been certified through an agency, you may self-certify here:

Goods or Service Type (you must select at least one)

Materials

Marketing

Indirect Materials & Services

Construction & Facilities

IT & Telecom

Supplier Business Information
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Additional Attachments ( 12M maximum size of all attachments)
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Are you sure you'd like to submit this form? By choosing to submit this form, you certify that the information you have provided above is true and accurate.

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