Vendor Submission Request Form

Vendor Setup Request Form

*Note: ArcisGolf remits all vendor payments via ACH. Allow 2 pay cycles for new and updated ACH information to take effect. Until then, you will receive checks.

For questions regarding this form please reach out to vendor.setup@arcisgolf.com

1. Check One:

New VendorUpdate to Existing Vendor Record

Select a Course:

Required Documents:

W-9, completed and dated within the last six (6)monthsTwo (2) of the following for ACH setup:

Voided Check
Bank Letter
Current Bank Statement

File Upload*

The link is secure, and files uploaded are secure.

2. Vendor Information:

Vendor Legal Name

DBA Name (remit to name on invoice)

Tax ID or SSN*

Street Address

City

State / Province

Postal / Zip Code

Contact Person's Name:*

First NameLast Name

Phone Number*

E-mail*

example@example.com

3. Payment Terms:

Discount Terms:

4. Vendor Remit Address (if different than address in section 2)

First NameLast Name

Address

Street Address

City

State / Province

Postal / Zip Code

Contact Person's Name (if other than payee)

First NameLast Name

Telephone Number

Remit to email address:

example@example.com

5. Financial Information:

Bank Address

Street Address

City

State / Province

Postal / Zip Code

Name on Bank Account:

Bank Account Number:

Nine-Digit Bank Routing/Transit Number (ABA):

Type of Account

CheckingSavings

Name of Person Completing Form:

First NameLast Name

Title of Person Completing Form:

I certify that the information provided on this form is correct, and I hereby authorize Arcis Golf Accounts Payable to electronically deposit payments to the bank account designated above. It is my responsibility to notify Arcis Golf AP (aphelp@arcisgolf.com or (214) 722‐6000) immediately if I believe there is a discrepancy between the amount deposited to my bank account and the amount of the invoice(s) paid. I understand that I must notify Arcis Golf AP in writing immediately of any changes in statu 3

Signature

Please verify that you are human*

Vendor Setup Request Form

6. Approvals/Authorizations