Supplier Registration Forms

The forms listed as required below must be completed by all suppliers and returned to the before a purchase order will be issued for goods or services.  The other forms are optional and help us better understand your company, and allow us to provide important OSHA information for your employees.

Complete all forms electronically. Then, print the form, obtain the appropriate signature, and return via email to or fax to 717-796-5050. Questions should be directed to the Purchasing Office at 717-691-6010.

worship and performing arts center


Special Instructions

Supplier Registration and W-9 Information Request REQUIRED
Click here for instructions.
Conflict of Interest and Disclosure Statement REQUIRED
Confidential Information Agreement REQUIRED
Supplier Criminal Background Certification REQUIRED
ePayables Visa Form Any company that accepts VISA should complete this form.
Supplier Diversity Statement Any company certified by a third party organization as a diversity supplier should complete this form.
Supplier OSHA & Policy Compliance All suppliers should review this important information.