Supplier Application - Boyd Gaming Supplier Portal

Section I. Business Information

Attachments must be 25MB or less.

Boyd Gaming operates in the states below. Check those that you are interested and capable of doing business in:

Company Information

Legal Company Name

Doing Business As

Tax ID Number

DUNS Number

Physical Address

Address Line 2

Address Line 3

City

Country

State

State/Region

Zip/Postal Code

Primary Contact First Name

Primary Contact Last Name

Title

Phone Number

Ext.

Cell Phone

Fax Number

E-Mail Address

User Name

Password

Password must be 8 to 20 characters long and contain the following: uppercase letter, lowercase letter, number and special character. Special characters include ! @ # $ % ^ & *.

Confirm Password

Corporate Phone Number

Corporate Fax Number

Company Website (URL)

Remit To Address is same as Physical Address