PBSC Supplier Registration

PBSC Supplier Registration
For guidance, please download the Supplier Application Guide.

Business Details
Business Name*
Supplier Category*
Supplier Group
Hold down the Ctrl key to select multiple groups.
Tax ID*

Payment Types and Currencies
Accepted Payment Types*

CheckACH/EFT
Default Payment Type*

CheckACH/EFT
Currencies

USD Is the only currency accepted
Payment Terms are NET 30

ACH Details
Check box to set up ACH banking information

ACH/EFT
Account Nickname
Payment Type*
Country*
Account Type*

SavingsChecking
Bank Name*
Routing Transit Number*
Account Number*
Bank Identification Code
Bank Instructions

Classification
U.S. Entity Classification

Business EntityMBE/WMBEW9 Exemption Code (Line 4)
Non-U.S. Entity Classification

W-8 Series Form
Entity Type*
Minority Type*
Certification Number
Certified By*
Certification Date*

MonthDayYear
Certification Expiration Date*

MonthDayYear
Exempt Payee Code*
FATCA Code*

Attachments
REQUIRED Please upload the two documents requested below.

Your application cannot be processed without both forms.

Please refer to the Guide of PBSC Insurance Requirements for more information regarding your Certificate of Insurance (COI)
W-9 IRS Form for U.S. Entities or W-8 IRS Series form for non-U.S. Entities, current and signed*

Please upload either DOC, DOCX, HTML, PDF or TXT file types. (10MB max)
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Current Certificate of Insurance (COI)*

Please upload either DOC, DOCX, HTML, PDF or TXT file types. (10MB max)
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Disclaimer

As an applicant to become a Supplier to Palm Beach State College, I understand that there are certain risks with providing my company's information through this website. I accept full responsibility and agree to hold Palm Beach State College harmless from any and all responsibility and claims with respect to this application process. I acknowledge and confirm that I am not a current employee of Palm Beach State College.
Accept Disclaimer*

Check to accept
Type your name as your electronic signature*
Should be Empty:

ADA Products
Agriculture Equipment Repair Services
Agriculture Equipment, Parts
Air Compressors and Accessories
Air Conditioning Equipment Repair Services
Air Conditioning Equipment, Parts
Ammunition
Appliance Repair Services
Appliances, Parts
Architectural Services
Armored Car Services
Art Supplies and Equipment
Asphalt, Equipment, Materials, Supplies
Athletic, Sporting Goods, Equipment, Supplies
Audio Visual Equipment Installation and Repair Services
Audio Visual Equipment, Parts
Auditorium Seating
Automobiles, Parts, Automotive Shop Equipment
Banking, Financial Services
Beauty Shop Equipment
Beauty Shop Equipment Repair Services
Biology Equipment, Supplies
Books, Magazines, Periodicals, Electronic Publications
Building Equipment, Materials, Supplies
Cameras
Caps, Gowns, Regalia
Carpet, Carpet Installation
Cars, Trucks, Vans, Parts, Rentals
Chalk/White Board
Chemistry Equipment, Supplies
Computer Equipment Repair Services
Computer Equipment, Parts, Supplies
Concrete Products, Supplies
Conferences
Construction, Construction Management
Consulting
Copier Equipment Repair Services
Copier Equipment, Supplies
Courier Service
Custodial Services
Dental Equipment, Supplies
Document Imaging, Scanning, Retrieval Services
Drug Testing Services
Electrical Equipment Repair Services
Electrical Equipment, Supplies, Services
Elevator Services, Maintenance
Engineering Services, All Types
Environmental Study Services, Testing
Exhaust Fans
Exhaust Systems Maintenance
Fencing Materials
Fire Alarm Installation, Maintenance, Repair, Services
Fire Extinguishers
First Aid, Safety, Supplies
Flags, Flagpoles
Flight Simulators
Floor Mats
Flooring Materials, Flooring Installation
Food Service Equipment, Repair
Food Services, Catering Services
Fuel, Gasoline
Furniture, Classroom, Laboratory
Furniture, Office, Outdoor
Gases, Laboratory
General Contractors
Golf Carts, Golf Carts Repair
Grease Traps Maintenance
Guard, Security Services
Hazardous Waste Disposal, Supplies
Heating, Ventilation, Air Conditioning Equipment, Supplies
Heating, Ventilation, Air Conditioning Repair Services
Hospital, Medical Equipment or Supplies
Information Technology Consulting Services
Information Technology Hardware, Software
Insecticides, Fungicides
Insurance
Irrigation Systems, Supplies
Janitorial Supplies
Laboratory Equipment, Supplies
Lake, Water Treatment
Landscape Services
Lawn Equipment
Legal Services
Library Equipment, Supplies
Locksmith Services
Mail Machine Equipment
Material Handling Equipment, Forklifts
Memberships
Microscopes
Motel, Hotel Services
Moving, Storage Services
Musical Instruments, Repairs
Office Computers, Monitors, Accessories
Office Machine Equipment
Office Machine Repair Services
Office Supplies
Paint, Supplies
Paper
Personnel, Temporary Services
Pest Control Services
Plants, Trees
Plumbing Equipment, Supplies
Police Equipment, Supplies
Pottery, Kiln, Equipment, Supplies
Printing, Decals
Printing, Graphic Arts, Services
Promotional Items
Pursuit Vehicles
Recycling Services
Roofing, Materials, Services
Scientific Instruments, Equipment Repair
Security Gates, Systems
Sheds, Prefabricated Buildings, Modular Buildings
Signs, Wayfinding
Speakers, Lecturers, Artists, Performers
Sporting Goods Equipment, Supplies
Subrecipient
Subscriptions, Publications
Supplier 0-9
Supplier A-F
Supplier G-L
Supplier M-S
Supplier T-Z
Telecommunication, Radios
Telephone Equipment, Supplies, Services
Tents
Theater, Equipment, Supplies
Tools
Towing Services
Trailers
Training
Trash Receptacles
Umpires, Referees
Uniforms
Utilities
Vending Services
Water Coolers
Water Treatment Chemicals
Welding Equipment, Supplies
Window, Window Treatments, Blinds
X-Ray Equipment, Supplies