Print Supplier Application

Thank you for your interest in becoming a Supplier with SLWM!

At this time, SLWM is accepting new print Supplier applications for select commodities only. Completed applications will be saved for six (6) months.

Please complete this application as a first step to be considered for Supplier opportunities. While completing this application, please ensure that all required fields are completed. Incomplete information, expired certifications, and missing attachments will result in a rejected application.

Once we have received your information we will review and reach out to you with next steps if your application has been accepted.

Your Company Basics

Please complete all required fields regarding your company's basic information. Please include your company's W-9 or W-8 in attachments at the end of this RFI.

Supplier Registered Name*

Supplier DBA (if applicable)

Parent Company Name (if applicable)

Tax Classification*

Please select your Tax Classification from the drop down list. If you are an international Supplier, please select International.

Select

EIN State of Registration

Primary Office Street Address*

Primary Office City*

Primary Office State*

Primary Office Zip Code*

Primary Geography Footprint*

Select

US Plant Locations

Select or enter value

International Plant Locations

Number of Employees*

Supplier Account Number for SLWM

This is the account number that your accounting department has assigned to SLWM.

Your Contact Details

Please complete the contact details below.

Owner/Principal Name*

Owner/Principal Title*

Owner/Principal Phone Number*

Owner/Principal Email Address*

Sales Contact Title*

Sales Contact Phone Number*

Sales Contact Email Address*

AR Contact Email Address*

Supplier Diversity Qualifications

Certificates are required for all qualifications selected. Attachments can be uploaded in this form at the end of this survey.

Disability Owned Business Enterprise (DOBE)

Do you have a current DOBE Certification? If yes, please include current certificate in attachments at the end of this RFI.

Disadvantaged Business Enterprise (DBE)

Do you have a current DBE Certification? If yes, please include current certificate in attachments at the end of this RFI.

Historically Underutilized Business Zone (HUBZone)

Is your primary facility certified in a Historically Underutilized Business Zone? If yes, please include current certificate in attachments at the end of this RFI.

HUBZone Location Zip code

If you hold a HUBZone Certificate, please enter the zip code for the facility.

LGBT Business Enterprise (LGBTBE)

Do you have a current LGBT Certification? If yes, please include current certificate in attachments at the end of this RFI.

Minority Business Enterprise (MBE)

Do you have a current MBE Certification? If yes, please include current certificate in attachments at the end of this RFI.

Service Disabled Veteran Owned Business Enterprise (SDVOBE)

Do you have a current SDVOBE Certification? If yes, please include current certificate in attachments at the end of this RFI.

Veteran Business Enterprise (VBE)

Do you have a current VBE Certification? If yes, please include current certificate in attachments at the end of this RFI.

Women Business Enterprise (WBE)

Do you have a current WBE Certification? If yes, please include current certificate in attachments at the end of this RFI.

Environmental Certifications

Certificates are required for all qualifications selected. Attachments can be uploaded in this form at the end of this survey.

Forest Stewardship Council (FSC)

Do you have a current FSC Certification? If yes, please include current certificate in attachments at the end of this RFI.

International Organization for Standardization Environmental Management (ISO 14001)

Do you have a current ISO 14001 Certification? If yes, please include current certificate in attachments at the end of this RFI.

Programme for the Endorsement of Forest Certification (PEFC)

Do you have a current PEFC Certification? If yes, please include current certificate in the attachments at the end of this RFI.

Sustainable Forestry Initiative (SFI)

Do you have a current SFI Certification? If yes, please include current certificate in the attachments at the end of this RFI.

Other Industry Certifications

Certificates are required for all qualifications selected. Attachments can be uploaded in this form at the end of this survey.

HIPAA Compliant

Are you a HIPAA compliant Supplier?

ESG Certified

Are you Environmental Social & Governance Certified? If yes, please include current certificate in the attachments at the end of this RFI.

DEA Registered

Is your facility registered with the DEA? If yes, please include current certificate in the attachments at the end of this RFI.

FDA Registered

Is your facility registered with the FDA? If yes, please include current certificate in the attachments at the end of this RFI.

Are you G7 Certified? If yes, please include current certificate in the attachments at the end of this RFI.

ISO 9000/9001

Are you ISO 9000/9001 Certified? If yes, please include current certificate in the attachments at the end of this RFI.

ISO 27001

Are you ISO 27001 Certified? If yes, please include current certificate in the attachments at the end of this RFI.

HiTrust Certified

Are you a HiTrust Certified supplier? If yes, please include current audit report in the attachments at the end of this RFI.

SOC 2 Type 2

Are you SOC 2 Type 2 Certified? If yes, please include current certificate in the attachments at the end of this RFI.

Union Shop

Are you a Union Shop? If yes, please include current certificate in the attachments at the end of this RFI.

Equipment and Top Products

Please let us know about your equipment and the top 5 product types that you sell to your customers.

Your Top 5 Items*

Please select from the dropdown list below your top 5 products that you sell to your customers.

Select

Attachments

Please attach the following information:

Your Company's W-9or W-8. - Required
Your Company's Equipment List. - Required
Your Company's Plant List (if more than one location)
Your Company's Current Diversity Certificates (if any).
Your Company's Current Environmental Certificates (if any).
Other Industry Current Certificates (if any), ie DEA, FDA, G7, ISO 9000/9001, 27001, SOC 2 Type 2, Union Shop Certificates.

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