Vendor Information Form

Vendor Information Form
Today's Date

MonthDayYear
Date
Vendor Details
Company name
Contact Number

Area CodePhone Number
Company Email
example@example.com
Website URL
Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Organization Type

CorporationPartnershipSole Proprietorship
Year the Company was founded (since)
e.g since 2003
Number of Employees
Vendor Type

InternationalLocal
Nature of Business/Trade

ManufacturerAuthorized DealerInformation ServicesWholesalerRetailerComputer HardwareTraderImporterService BureauSite DevelopmentConsultancyOther
Types of Products and Services Provided

Convenience ProductsShopping ProductsMedical ProductsSpecialty ProductsOther
Company Description
Accepted Payment Method
Check, bank transfer, purchase order, credit card
Contact Person Details
Consent to Photograph /Videotape / Interview Individuals

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Vendor's Representative Name

First NameLast Name
Vendor's Representative Email
example@example.com
Vendor's Representative Signature

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Vendor Information Form

Vendor Details