Vendor Agreement Form

Vendor Agreement Form

with Blue River Carp, Inc.
Vendor Name*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address (if different than billing)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vendor Phone Number*
Please enter a valid phone number.
Vendor Email*
example@example.com
Federal Tax ID
Rep Name (if you are dealing with a Sales Rep or Affiliate Rep)

First NameLast Name
Contact Person*

First NameLast Name
Contact Phone Number*
Please enter a valid phone number.
Contact Email*
example@example.com
By signing this form, I understand that this is in no way, a guarantee of the organization's acceptance of my application as vendor.

- Payment Terms are Net 30.

- Late Fee on payments are 2% per month.

- Vender Agrees to pay all shipping charges.

- payment can be made over phone or online via invoice in email.
Type notes below
Name*

First NameLast Name
Signature*
Date*

MonthDayYear
Date
Should be Empty: