Vendor Information Sheet

Name of Firm:

Phone:

Fax:

Email Address:

Address:

Headquarters Office:

[ ] Corporation [ ] Partnership [ ] Individual [ ] Other

Date Business Started:

Place:

President:

Other Officers:

Has this company provided products or services to our company before?

[ ] Yes [ ] No If so, when and what type?

List current customers and their approximate purchase value.

List trade references (name, phone).

List bank references (name, branch, phone).

Completed by ____________________________

Date _____________

Approved by _____________________________

Date _____________