Vendor Information Form printable pdf download

Vendor Information Form

VENDOR INFORMATION

(Attach to W9 Form)

Please Print Clearly

VENDOR NAME:________________________________________________________

Street Address:_______________________Remit to Address:______________________

(If different from street address)

___________________________________ ___________________________________

Sales / Order Contact Name:_________________________Phone #:________________

Fax #:________________Email Address:__________________________

Acct Dept Contact Name:___________________________Phone #:________________

Fax #:________________Email Address:__________________________

Town of Silver City

Requesters Name:_____________________Department:____________Date: _________

PLEASE ATTACH THIS COMPLETED FORM TO THE BACK OF THE W9 FORM

AND RETURN TO FINANCE. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT

FINANCE ASAP IN ORDER TO BE ABLE TO CONTINUE THE ORDERING PROCESS.

Vendor Information Form