PBSC Supplier Registration

  • PBSC Supplier Registration

  • For guidance, please download the Supplier Application Guide.

    • Business Details 
    • Payment Types and Currencies 
    • Accepted Payment Types*
    • Default Payment Type*

    • Payment Terms are NET 30

    • ACH Details 
    • Account Type*
    • Business Contact Details 
    • Format: (000) 000-0000.
    •  - -
    • Primary Phone Use For*
    • Format: (000) 000-0000.
    •  - -
    • Additional Phone Use For*
    • Email Address Use For*
    • Remit-To Mailing Address Use For*
    • Business Mailing Address Use For*
    • Classification 
    • U.S. Entity Classification
    • Certification Date*
       - -
    • Certification Expiration Date*
       - -
    • Contact Person Information 
    • Format: (000) 000-0000.
    •  - -
    • Primary Phone Use For*
    • Email Address Use For*
    • Copy Mailing Address from above
    • Contact Mailing Address Use For*
    • 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)

    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof

    • 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.

    •  
    • Should be Empty: