VENDOR INFORMATION

Thank you for your interest in becoming a Silicon Valley Bank vendor. If you are not currently a Silicon Valley Bank vendor and you would like to introduce your company's products or services to us, complete this Vendor Request Form for your submission of interest.

Process
When filling out the form, be sure to provide all required information. We accept forms from companies not currently registered as vendors with Silicon Valley Bank. Upon receipt of your completed form, we will enter your company's information into our database, where it will be retained for one year. If a match occurs between Silicon Valley Bank’s needs and your products and services, we may contact you.

Company Headquarters Information

Information entered in this section should be for your company's headquarters or main office. Primary and secondary contact information will be entered in the next section of this registration form.

Company Legal Name *

Company Doing Business As Name *

Company Headquarters Address

Address *

City *

State *

Zip/Postal Code *

Country *

Company Phone Number *

Company E-mail Address

Company Website *

Contact Information

Contact Name *

Title *

Address *

City *

State *

Zip/Postal Code *

Country *

Phone Number *

Cell/Mobile Number *

Fax Number *

E-mail Address *

Business Ownership & General Business Information

Company Ownership *

Number of Employees *

Primary Commodity Category

Please select primary commodity category that represents the goods or services your company might provide. *

Secondary Commodity Category - Optional

Optional - Select a second commodity category that represents the goods or services your company might provide.

Tertiary Commodity Category - Optional

Optional - Select a third commodity category that represents the goods or services your company might provide.

Company Description

Using keywords, describe the product lines/services your company provides: *

Company Geographic Service Area

Please describe the geographic area serviced by your company. *

Are You a Diverse Vendor? Yes No

If You are a Diverse Vendor, What is Your Classification?

If You are a Diverse Vendor, Are Your Certified? Yes No

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