Vendor Setup Form

Please fill out the following form to be set up as a vendor for our customers.
* = Required field. If required fields are left blank, your contact may be discarded

Business Email Address*:
Your Name (or the Business Contact Name):
Your Business's Name*:
Business Address*:
City*:
State*:
Zip*:
Phone Number*:
Fax Number:
What is the name of the customer that repairs will be performed for?*:

By clicking Submit to WFS below, you are confirming that you have read the vendor processes found on our Vendors page and that you are agreeing to abide by those processes when servicing vehicles belonging to the Utah Food Bank.