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Giant Eagle Supplier Registration Form

REGISTRATION FORM FOR NEW SUPPLIERS

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If you are interested in doing business with Giant Eagle, Inc. and would like to be part of a future sourcing event, please complete the form below. Upon completion, you will be added to our database of potential suppliers that we review each time a new bid opportunity presents itself. Please make sure you fill out all of the fields accurately and completely to allow us to utilize our database most effectively. We look forward to working with you! Thank you for your interest in partnering with Giant Eagle, Inc.
SUPPLIER INFORMATION:
Contact Name:*
Company Name:*
Street Address 1:*
Street Address 2: 
City:*
State:*
Postal Code:*
Remit to Address (If Different):
Remit to - Street Address 1: 
Remit to - Street Address 2: 
Remit to - City: 
Remit to - State: 
Remit to - Postal Code: 
CONTACT INFORMATION:
Contact Title:*
Telephone Number:*
E-mail Address:*
Alternate Contact:*
Alternate Telephone Number:*
Alternate E-mail Address:*
ADDITIONAL SUPPLIER INFORMATION:
Dun & Bradstreet Number:*
Website URL:*
Diverse Supplier:*
If Diverse, please select type: Please list your current certifications: 
Please select territories you are able to service:
 
Akron/Canton
 
Cleveland
 
Columbus
 
Erie
 
Maryland
 
Pittsburgh
 
Toledo
Company Role:*
Company Type:*

UNSPSC Codes for Commodities or Services:
Click below to view the UNSPSC Code Search: (To locate: Click on link and enter a commodity keyword in the "Search Title" field (for example: strawberries, cutlery, computers, etc.)
UNSPSC Code Search:
(Please separate each code with a comma) 
Please provide any additional comments: