Supplier Diversity Supplier Diversity Registration

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Fields outlined in orange are required.

Seton’s Vendor # or Contract #, if applicable:
Name of business:
Please give us a brief description of your business:
Contact person and title:
Physical address:
City:
State:
Zip Code:
Business telephone number: (xxx-xxx-xxxx)
Fax: (xxx-xxx-xxxx)
Cell number: (xxx-xxx-xxxx)
Pager: (xxx-xxx-xxxx)
Please list the Minority Certifying Identifier that best describes your business from the following list:







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Please provide certification documentation from CSTMBC or WBENC.

Federal Tax Id#:
NAICS Code(s):

Submitted by
Name:
Title:
Email:

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image Seton is proud to have four hospitals – the only hospitals in Central Texas - that have earned the Magnet designation, the highest award for nursing excellence given by the American Nurses Association.
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