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Supplier Number Request Form
Supplier Number Request Form
Please use this form to initiate the process to register as a supplier and receive a Supplier Number. Each supplier number must be associated with a unique email address. There can be only one registration per email address. Please provide the email address for the person or organization you wish to register. The invitation to register will be sent to that email address.
CIOs should create a unique email address for their organization
and not use a student email address as a contact email. You can create contact email addresses via
SYMPA
and use that; that would be an @Virginia.edu address. You would just need to add anyone from your org who should receive emails sent to that address as "subscribers." When creating the new list, we suggest they use the type "Contact Address No Archives."
Your First Name
Name of person filling out the form.
Your Last Name
Last name of person filling out the form
Your Email
Email of the person filling out the form.
I am requesting to register...
- Select -
A Company or Individual Providing Goods or Services
A Student or Individual for Reimbursement
A CIO or Student Organization for Reimbursement
Business or Owner's Legal Name (For Goods or Services)
Student or Individual's Legal Name (For Reimbursement Only)
CIO or Student Organization's Legal Name (For Reimbursement Only)
Email to Receive Registration Invitation. If registering a CIO do not use a personal email address.
The invitation to register for a supplier number will be sent to the email.
Submit
Leave this field blank