Vendor Profile Form

Vendor Profile Form

Secured Form
Please fill out form to complete or update your vendor profile with the Vision y Compromiso organization. If you have any questions, please email purchasing@visionycompromiso.org with the subject line: "Vendor Maintenance". Thank you for your cooperation.
Business Name/Disregarded Entity *
(Name, if different from company name)
Company Name*
(as shown on your income tax return)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TIN/Business ID No./Social Security No.*
Nature of Business*
(e.g., Contractor, Consultant, Goods and Services)
Please provide most recent W9. Please see link if W9 not available to you.*

If your file is larger than 10 MB and are unable to upload, please email payments@visionycompromiso.org
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Please click here for blank W9
Point of Contact at Vision y Compromiso*
Name of the Vision Y Compromiso employee
Payment Terms*
(Once we receive the invoice, how long until the payment is due?)
Do you have a contract or an agreement with Vision Y Compromiso?*

YesNo
Please attach the contract or agreement if you have one with Vision Y Compromiso.

If your file is larger than 10 MB and are unable to upload, please email payments@visionycompromiso.org
Cancelof

Section Two: Payment Information
To ensure prompt payment processing without any delays or issues, we highly recommend using Direct Deposit (ACH) as your primary payment method. Please complete the following steps to set up your account.

Please be sure to carefully review this section for accuracy.
Please select preferred payment method*

ACH Banking Information
Name of Banking Institute
Bank Account Number
Routing Number
Name on Bank Account
What name is the account under?
Account Type

CheckingSavingN/A
What type of account is it?

PersonalBusinessN/A
Voided Check Image

*Please attach a copy of a VOIDED CHECK for account number and ABA routing number verification *(If check is not available, you may supply one (1) of the following for account verification:(1) A Bank Specification Sheet indicating company name, bank account number, and ABA routing number; or (2) A confirmation letter from the bank indicating company name, bank account number, and ABA routing number.)
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Please click here for a sample of a voided check

Check Information
Will the check be mailed to the same address as the contact address above?

YesNo
Remittance Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Credit Card Payment
To facilitate the processing of your credit card payment, we kindly request that you provide a secure link. Please note that, for security reasons, we are unable to process payments over the phone. Thank you for your understanding.
Please provide the link in the box below

Section Three: Contact Information

VyC will contact this person for any billing questions. Your accounting or accounts receivable department is preferred.
Accounts Receivable Contact*
Title
Phone Number*
Email*
Section Four: Affirmation Signature
I, Name*, in my capacity as,Title* , hereby authorize Vision y Compromiso to direct payments for goods and services to the listed account or address.
Signature*

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Date*

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Date
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