Vendor Information Form
Today's Date
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Month
-
Day
Year
Date
Vendor Details
Company name
Contact Number
Company Email
example@example.com
Website URL
Office Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vendor Type
Regional
Local
Nature of Business/Trade
Manufacturer
Authorized Dealer
Wholesaler
Retailer
Trader
Importer
Consultancy
Other
Types of Products for Transport
Medical Supplies
Shopping Products
General Freight
Specialty Products
Other
Company Description
Accepted Payment Method
Check, bank transfer, purchase order, credit card
Contact Person Details
Vendor's Representative Name
First Name
Last Name
Vendor's Representative Email
example@example.com
Vendor's Representative Signature
Date Signed
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
Should be Empty: