• 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.

      W-9 IRS Form for U.S. Entities or W-8 IRS Series form for non-U.S. Entities, current and signed
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    • A Certificate of Insurance (COI) is required to conduct business with PBSC — The certificate holder must be listed as:

      Palm Beach State College & Its District, Board of Trustees
      4200 S. Congress Ave., MS #35, Lake Worth, FL 33461

      The PBSC Insurance Requirements Guide explains the insurance requirements of the college

       

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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.

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