Supplier Diversity Program

Supplier Diversity Program Form

Please complete the following form to be added to our Supplier Diversity Program.

You may also mail in your request with the noted forms to the address listed at the bottom.

Please have the following documents ready to submit:

  • NMSDC (National Minority Supplier Development Council) Certification ID or other similar certification or self-identification
  • Current IRS Form W-9
  • Current Certificate of Insurance
  • Current Sole Proprietor Waiver (if applicable)

View our Supplier Diversity Program Policy

Fill out my online form.

If you prefer to mail your request to Mercantile Bank, please submit all of the above information and noted documents via mail to:

Mercantile Bank of Michigan

ATTN: Vendor Management Office

5610 Byron Center Ave

Wyoming, MI 49519

Questions? Phone: 616.406.3617