New Supplier Request Form
Business Entity
*
IWS
Hyperion Intl.
Hi Line Industries
MMBR
KLa Systems
Vendor or Supplier Business Name:
*
Please describe what we will be purchasing from this Vendor/Supplier:
What is the expected dollar volume per month?
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
Please enter a valid phone number.
Name of Internal Requestor:
*
First Name
Last Name
Requestor Phone Number
Please enter a valid phone number.
Terms and Conditions to be utilized for this account:
*
Vendor (must attach Ts & Cs)
IWS and Subsidiaries
Proposed T's & C's must be attached if we will use their Terms.
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T's & C's reviewed and approved by:
*
Any unique details about this Vendor?: (ie. short term need for their services, pay via portal link, etc
Vendor Accounts Receivable Contact name
E-mail
example@example.com
Vendor Accounts Receivable email
Vendor Accounts Receivable Phone number
Requested Net Payment Terms
W-9 File Upload
*
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Please attach a current copy of your W-9.
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