Vendor Application

Name *

Company *

Address

City

State

Zip/Postal Code

Phone *

Fax

E-mail *

Website *

Products/Services you provide

How will these products/services complement PCS's offerings?

Describe your target market

Total number of customers (bank, savings & loan, and credit union)

Are you willing to conform to PCS Specifications or industry standard specifications as applies?

What is your primary line of business?

Do you or any part of your company offer a core software banking software?

Year Established

Number of Employees

Total Annual Sales

Ownership (public or privately-held)

Please list any banks that are mutual customers (Name, City, State)

Questions/Comments