Vendor Information Sheet

Name of Firm:



Email Address:


Headquarters Office:

[ ] Corporation [ ] Partnership [ ] Individual [ ] Other

Date Business Started:



Other Officers:

Has this company provided products or services to our company before?

[ ] Yes [ ] No If so, when and what type?

List current customers and their approximate purchase value.

List trade references (name, phone).

List bank references (name, branch, phone).

Completed by ____________________________ Date _____________

Approved by _____________________________ Date _____________

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