Supplier Diversity

Please prepare the following documentation before you proceed with the supplier form. You will not be able to complete the form without this information.

Federal Tax ID Number, EIN, or SSN
D & B DUNS Number
Annual Sales for the past 3 years

Fields marked with a red asterisk (* ) are required.

Company Information:

Legal Business Name: *

Invoicing Name: *

Physical Street Address: *

City: *

State: *

Postal Code: *

eg: xxxxx-xxxx:

Enter Tax Id Number: *

eg: XX-XXXXXXX:

Dun & Bradstreet DUNS Number:

Website Address (URL):

Contact Information:

Contact Name: *

Contact Job Title: *

Contact Phone Number: *

eg: xxx-xxx-xxxx

Contact E-Mail: *

Additional Company Information:

Type of Company: *

Is the company a subsidiary or division of another business or company?: *

Yes No

If yes, what is the company name: *

Annual Sales in US dollars: *

(Previous three years, starting with most recent fiscal year)

Year Established: *

Number of Employees: *

Area of Service: *

Have you done business with Kimberly-Clark Corporation before?

Yes No

If yes, in what capacity? *

List Of Product/Services:

Select a maximum of four: *

Click for Product/Services

Business Certification:

Select all that apply: *

Use (Ctrl-Click) For Muliple Selection

Additional Comments/Information:

I certify all information provided is true and accurate.

Notice: Form submittal does not automatically qualify the registering company as an approved supplier of Kimberly-Clark Corporation or guarantee a bidding opportunity.