Vendor Information
NOTE: To update your information please fax your new information to 281-000-0000, Attn: Purchasing
All field with a ' * ' are required fields.
Company Name:
*
Contact Person:
*
Ordering Address
Accounts Payable Address
Address:
*
Address:
*
City:
*
City:
*
State/Zip:
*
State/Zip:
*
Phone:
-
-
*
Toll Free:
-
-
Fax:
-
-
Internet Address:
Do you accept Purchase Orders:
Yes
No
*
Cash Payment terms (30 days)
Minimum order amount, if any:
Principal Products/Services Offered: (Selection of Commodity Codes on Next Page:)
Principals and Key Personnel
Pres/Owner:
Gen. Mgr.:
Sales Mgr.:
Acctg Mgr.:
Acct Rep:
(outside)
Phone & Ext.:
-
-
Acct Rep.:
(inside)
Phone & Ext.:
-
-
Company Founded.:
(year)
# of Employees:
Business References:
Please provide contact information.
Reference #1:
Reference #2:
Reference #3:
Reference #4:
Bank Reference:
Bank Reference:
Please send comments to
Barbara Hogue
.
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