Accounts Payable Vendor Application Form
Curtin Maritime, Corp.
Accounts Payable Vendor Application Form
Company Name:
*
Remit to Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Accounting or A/R Contact:
*
First Name
Last Name
Accounting or A/R Email:
*
example@example.com
Accounting or A/R Telephone #:
*
Please enter a valid phone number.
Vendor Credit Limit:
General Details of Services/Goods Provided
Curtin Maritime initiates ACH payment, please provide the information below:
Remittance email:
*
example@example.com
An IRS W-9 form must be attached with this form.
*
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Bank letterhead of banking information must be attached with this form. If one is not available, please attach a voided check, or document referencing banking information.
*
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Notes
1. For payment status questions email apvendorinquiries@curtinmaritime.com 2. All invoices should be sent to ap@curtinmaritime.com 3. Send Vendor credit applications to vendoronboarding@curtinmaritime.com
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