Supplier Registration Form

The information you provide below will be the main source of contractor information for Niagara Region representatives.

You will have the opportunity to submit the following after you complete this form:

  • Proof of insurance certificate
  • Workplace safety and insurance board certificate

* = Required

Supplier Information

* Supplier Type

 

Contact Information

Purchase Order Receiving Information

Purchase order notifications will be communicated through email. If you are unable to accept notifications through email, provide your fax number.

Accounts Receivable Information

Payment notifications will be communicated through email. If you are unable to accept notifications through email, provide your fax number.

Verify your Submission

Verify your submission by typing the 6-digits you see in the box:

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