Vendor Information Form

Please fill out the form below to submit your information to our procurement department electronically.

Or you can download and email or mail the Vendor information Form.

Attn: Purchasing
6191 Kraft Ave SE
Grand Rapids MI, 49512


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Vendor Information

Purpose of the request
Internal Contact
If you are currently doing business with DU, provide the DU employee's information.
Payment Information
Payment Address (if different from above)
Payment Address
Invoice Terms
Do you offer Discount Payment Options?

Please email your W-9 to


If you are an Independent Contractor, please email your Independent Contractor Acknowledgement (found below) to



Contact Information
Diversity Information

For the following questions, please use these descriptions:

WBE - Women Owned Business - A business that is at least 51% owned by a non-minority woman who controls the daily management.

MBE - Minority Owned Business - A business at least 51% of which is owned by one or more minority individuals found to be as established by the U.S. Small Business Administration and whose management and daily operations are controlled by such individuals.

DBE - Disadvantaged Business Enterprise - A business where at least 51% is owned by one or more individuals who are both socially and economically disadvantaged; and whose management and daily operations are controlled by one or more of the socially and economically disadvantaged individuals who own it.

VBE - Veteran Owned Business - A business where at least 51% is owned, managed and controlled by one or more veterans.

Is your business certified as a (Select all that apply)
Please note which government entity or Minority Council has certified your firm as a WBE, MBE, DBE or VBE.
If you have a certificate please email a copy to or mail a copy to:
Attn: Purchasing
6191 Kraft Ave SE
Grand Rapids, MI 49512
Vendor Services
Which campus locations can you serve?
Will your organization offer rebates/discounts to the University?
Will you be accessing, retrieving, and/or transferring internal Davenport University data at any capacity?
If Yes: 

Please send completed HECVAT Lite form and Information Security Policy / Information Assurance Policy of your organization to with the subject “Vendor Vetting - <vendor name>”.