Station Casinos, Inc.
1505 South Pavilion Center Dr.
Las Vegas, NV 89135
Tel: 702.495.3000
Toll free: 1(800)6-STATIONS

Vendor Profile Form

Please provide us with information about your company by filling out the form below. A copy of Minority Certification must be faxed to (702) 367-2495 or emailed to purchasing@stationcasinos.com

Business Information

* Business Name (Legal/DBA/Division of)
* Business Structure

Business Address Details

* Street Address (line 1):
Street Address (line 2):
* City:
* State or Prov
* Zip Code
Country

Vendor Contact Information

* Vendor Contact Person
* Phone Number
* Fax Number
* Email Address

Business Details

* Federal Tax I.D. No. or
Social Security No.

* Minority Owned Business Info

Is Vendor minority/women owned certified?

yes

Certification Details

If certified enter your certification information below
Certifiying Organization Name
Certification Number
Expiration Date	(mm/dd/yyyy)
* Please describe the type of products and services that your company provides.