Vendor Interest Form

StoneSpring Medical Center is not scheduled to open until 2015.  The evaluation of vendors and suppliers relating to its construction and operation will not occur until 2011 at the earliest.  If you are interested in potentially being a vendor for SMC, please fill out the form below and we’ll keep it on file.  Thank you.

Company Name
Contact First Name  Last Name
Contact Title
Email Address
Phone Number
Primary Location City  State
Vendor Website URL
Type of Service Provided
Is your company a minority, woman or service disabled veteran-owned business enterprise?  NoYes

*

General Internet communication is inherently not secure. For this reason, we highly recommend that data considered confidential or private in nature not be submitted on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.)