Supplier Submission Form

Welcome! We are dedicated to building positive and productive relationships with our suppliers. Please complete and submit the form below (red fields required). Your information will be reviewed and retained in our database and we will contact you promptly should an appropriate business opportunity arise. Thank You.

Supplier Diversity Program

Harland Clarke Procurement takes proactive measures to enable small businesses, and those owned by minorities, women, veterans and service-disabled veterans, to fully participate as an integral part of our supplier base. To learn more about our Supplier Diversity Program, click here.

Company Affiliation (you must select at least one)
General Supplier Information
Supplier Contact Information
Diversity Supplier (required fields)

Diversity Supplier Definitions:

To qualify as a Minority, Disadvantaged, Women-owned, Veteran or Service Disabled Veteran-owned business enterprise, a business must:
  1. Maintain at least 51% ownership of their business.
  2. Maintain daily control of their business.
To qualify as a Small business enterprise, a business must:
  1. Meet the size standards described on the Small Business Administration size standard tables found at:

Select which classification(s) best describes your business.

If you have been certified through an agency, please provide the following information:

  • If you have NOT been certified through an agency, you may self-certify here:

Goods or Service Type (you must select at least one)



Indirect Materials & Services

Construction & Facilities

IT & Telecom

Supplier Business Information
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Additional Attachments ( 2M maximum size of all attachments)
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Are you sure you'd like to submit this form? By choosing to submit this form, you certify that the information you have provided above is true and accurate.