State of New Hampshire

Vendor Registration

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New Vendor
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Returning Vendor
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Frequently Asked Questions
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Alternate W-9

Click here to see a list of commonly asked questions. If you have any questions please email them to prch.web@das.nh.gov

Please fill out all required* fields before proceding.

Business Information

Do not use "NA","Not Applicable", or "Same As Above".

Legal Name:*

Required

Payee Name:*

Required

Tax Information

Tax ID: *

Check FOREIGN if not in the U.S.

Federal ID Number (EIN/FIN):

Social Security Number (SSN):

Required

FOREIGN:

Business/Purchasing Address

Address Line 1:*

Required

Address Line 2:

Invalid

Address Line 3:

Invalid

Address Line 4:

Invalid

City*

Required

Country*:

Required

State*:

Select FOREIGN if not in the U.S. Required

Postal Code*

Required

Zip:*

Required

Contact Information

Contact Name:*

Required

Phone:*

Required

Mobile:

Invalid

Fax:

Invalid

Email Address*:

Required

Confirm Email Address*:

Required

URL / Web Page:

* Invalid Business Address: URL/Web Page field

Remit Information

Is the Remittance/Payment Address the same as the Business/Purchasing Address?

YesNo Required

Remit Address

Address Line 1:*

Required

Address Line 2:

Invalid

Address Line 3:

Invalid

Address Line 4:

Invalid

City*

Required

Country*:

Required

State*:

Select FOREIGN if not in the U.S. Required

Postal Code*

Required

Zip:*

Required

Remit Contact Information

Contact Name:*

Required

Phone:*

Required

Mobile:

Invalid

Fax:

Invalid

Email Address:*

Required

Confirm Email Address:*

Required

Additional Information

Type of Business:* Required

Individual

Sole-Proprietor

C Corporation

S Corporation

C LLC

S LLC

Partnership

LLP

Estate or Trust

Non-Profit

Government

Partnership LLC

Health Care Provider

Legal Services

Principal Activity*: Required

Service Provider

Product/Merchandise

Other Provider

Optional Information

Diversity Code:

Disabled Veteran Business Enterprise	Small Business
Service Disabled Veteran Owned Small Business	SBA Certified Financially Disadvantaged Business
Historically Black Colleges and Universities	SBA Certified Historically Underutilized Business
Minority Institutions	SBA Certified Small Disadvantaged Business
Minority Owned Large Business	Veteran Owned Small Business
Minority Owned Small Business	Women Owned Large Business
Physically Challenged Business	Women Owned Small Business

Comments:

If there are any special instructions, international phone numbers, comments, etc. please add them here. Invalid

Registered with the N.H. Secretary of State?:* YesNo Required

* Note: Checking no does not prevent the completion of this form.
You may continue with the registration process.

I acknowledge the following Legal Document *