GCE New Supplier Request External Form

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Contact Information

Who is your contact that would like to purchase your product and/or services?
*First Name:
*Last Name:
*Phone:
*Email:
Department:
*Which of the following companies will be buying products and/or services from you (please select all that apply):
Canyon Hospitality, LLC
Canyon Golf, LLC
Canyon Promotions, LLC
Grand Canyon Education, Inc.

Supplier Information

*Are you a Subject Matter Expert for the Curriculum Design and Development department?
Yes No
*Supplier Name:
*Supplier Contact:
*Supplier Phone:
*Supplier Fax:
*Supplier Email:
*Street Address:
*City:
*State:
*Zip Code:
*Supplier Type:
*Tax ID:
     If supplier type is Individual, enter SS#
 
Click here for an editable W-9 PDF

Payment Information

Payment Terms:
 
Payment Method (check one):
*
  • This is our preferred payment method and selecting this option will ensure faster payment processing (supplier shall be responsible for all credit card processing fees). Credit card will be provided per the payment terms and not at the time of purchase.
*
 
*Detailed description of product or service being purchased:
*Please select one of these categories that best describes the product or service being purchased from this supplier:
Additional information:
 
Please complete the following to validate your response: