Vendor Application

How To Apply To Become A Stripe Management Vendor

Thank you for your interest in signing on as a vendor with Stripe Management!

Please include with this application a copy of the items listed below:

Company COI (Certificate of Insurance) with a minimum liability of $500,000
A completed W9 Form
Any/All relevant licenses (if required, for example: Home Improvement License)
ACH information (Upon acceptance of form)

Download Vendor Application Form

Download Blank W9 Form

Vendor Application Form

Company Name(Required)

Company Phone(Required)

Company Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Website/URL(Required)

Hours of Operation(Required)

Point of Contact

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Type of Service(s)(Required)

Do you offer after hours services?

Yes

No

Certificate of Insurance

Provider(Required)

Policy #(Required)

Expiration Date(Required)

65525

Contact Us

I am...(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Property Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Comments

Comments

This field is for validation purposes and should be left unchanged.

17513

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9658 Baltimore Ave Suite 300, College Park, MD 20740

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(301) 617-2572

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