High Peak Borough Council

Supplier Registration Form

The Information on this form will be used to locate suitable suppliers for goods and services required, therefore please complete with as much detail as possible. If your initial registration is successful you will be required to complete a supplier evaluation form.

Main Contact Name:

Business Name:

Department:

Address 1:

Address 2:

Town/City:

County:

Post Code:

Country:

Telephone Number:

Fax Number:

Email Address:

Website Address:

Please select the primary and secondary category that closest represents your business profile:

Brief Description of Business:

* = Mandatory Field