Vendor Information Request

Hello, thank you for taking interest in being added onto our vendor list. We are very excited to work with you!

Please fill out the information below and read everything carefully. Before you submit your application, you will be asked to provide a copy of your W9 and Insurance. If for any reason you can't provide those documents, or you have questions or concerns, don't hesitate to reach out to us.

Better Homes & Gardens Real Estate Kenney & Company

(719) 550-1515

2120 Academy Cir. Suite A, Colorado Springs, CO 80909

www.kenneyandcompany.com

Full Name*

Company Name

Primary Email*

example@example.com

Secondary Email

example@example.com

Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Phone Number*

Secondary Phone Number

FAX

Taxpayer ID (SSN or EIN):*

Will you be able to submit a copy of W9?

YesNo

Will you be able to submit a copy of Insurance?

YesNo

Will we be able to set up a Net 30 with you?

YesNo

Do you agree to submit invoices/estimates no later than 30 days?

YesNo

As a valued vendor for BHGRE - Kenney & Company, we kindly request that you contact tenants within 72 hours and arrange a visit within 10 business days. Would you be able accommodate this request?

YesNo

Type of Service Offered:

Have multiple services you offer? List the rest down below:

Upload Any Documents Requested (W9 & Insurance):

Were you referred OR are you working with an agent? Please add the name of the agent below: