New Vendor Setup Form printable pdf download

New Vendor Setup Form

VENDOR INFORMATION

Vendor Business Name:

_______________________________________________________________________________

Vendor Shipping Address:

Street #/City/State/ZIP_____________________________________________________________

Vendor Billing Address (If different from above):

Street #/City/State/ZIP_____________________________________________________________

Vendor Accounts Payable Contact:

Name____________________________________________________________

Email____________________________________________________________

Phone #__________________________________________________________

Requested Payments Terms: NET _________

Please list 3 Trade References:

Reference #1 Name / Acct #: ______________________________________________

Reference #2 Name / Acct #: ______________________________________________

Reference #3 Name / Acct #: ______________________________________________

For domestic vendors providing services a W-9 is required. Please submit along with this Form.

Vendor First/Last Name _______________________________________________________________

Signature ___________________________________________

Date ___________________

New Vendor Setup Form