Vendor Information Sheet - Alpine School District
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1VENDOR INFORMATION SHEET
Vendor Name ______________________________________________________________________________
***How do you want Purchase Orders delivered? (
)
Fax
Email
US Mail
Check One
Company Phone Number _____________________________________________________________________
Company Fax Number________________________________________________________________________
Company E-mail Address _____________________________________________________________________
Company URL (Company Website) _____________________________________________________________
Physical Address____________________________________________________________________________
Mailing Address ____________________________________________________________________________
Contact Name ____________________________________ Title_____________________________________
Contact Phone Number_____________________________ Contact Fax Number_________________________
Contact E-Mail Address ______________________________________________________________________
A/R Contact Name ________________________________ A/R Contact Phone Number___________________
***How do you want payment remitted?
Check
Remittance Address _______________________________________________________
ACH
(Direct Pay)
Name of Bank____________________________________________________________
**Attached Direct Deposit Form Must be Completed**
Please include the following forms:
Required Forms
Optional Forms
Vendor Information Form
Direct Deposit Form (If applicable)
W-9 Form
Vendor Bid Form (If applicable)
***Please notify us immediately of any change.
It is the sole responsibility of the above named vendor to keep all information accurate and up to date.
Please Return All Completed Forms :
Alpine School District Purchasing Dept.
Purchasing Only:
Attn: Lori Adams
Vendor Number:
490 North State St
Lindon, Utah 84042-1340
__________________
801-610-8045 (Office)
___
801-796-3116 (Fax)
Updated 6-18-14
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Parent category: Business