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Vendor Information Form

  1. VENDOR INFO
  2. Please provide the following information when submitting a request to open a new vendor account or when updating vendor information. Completion of this form does not guarantee business or establish a contractual relationship.

  3. BILLING INFO
  4. (Where you want your payment sent)

  5. Is your business address the same as your remittance address?

    If no, please complete the billing address section below.

  6. (Where you want your bill sent)


  7. Will you accept ACH payments?*
  8. BUSINESS INFO
  9. Business Type*
  10. Are there any personal connections with employees?*
  11. SUBMIT INFO
  12. Please email all invoices and statements to apayable@desotoks.us
  13. Leave This Blank:

  14. This field is not part of the form submission.