New Vendor Application AIB

AIB Vendor Form

Beyond Vision Attn. Purchasing Department 1540 S. 108th Street West Allis, WI 53214 PHONE: 414-778-5800

AIB Associate you are working with:(Required)

Company Name(Required)

Company Website

Email/PO Processing(Required)

Primary Contact Name(Required)

First Last

Primary Contact Role or Title(Required)

Primary Contact Email(Required)

Primary Contact Phone(Required)

Alternate Contact Name

First Last

Role or Title

Alternate Contact Email

Alternate Contact Phone

Main Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Remit To Address(Required)

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Minimum Order Dollar Amount(Required)

Shipping:(Required)

Origin (Supplier Warehouse)

Destination (Delivered)

Vendor Lead Time

Please enter in Business Days

NAICS Codes

Tax ID/W9(Required)

Accepted file types: pdf, Max. file size: 50 MB.

Download a fillable W-9 form

Return Policy(Required)

Amount for Prepaid Delivery Minimum(Required)

Payment Terms(Required)

Net 45

1% Net 30

Other

Standard payment terms are Net 45. If you've made special arrangements with Buyer, please enter details below.

Terms Notes

If you selected Other for Payment Terms, please provide agreed upon details.

Account Number with Supplier

889 Certificate Signed(Required)

Max. file size: 50 MB.

Download a fillable 889 form

Small Business Certification

Small Business Certification(Required)

Max. file size: 50 MB.

Download our Supplier Self Certification form

GSA Contract # (If Applicable)

PLEASE NOTE:

Signature of Authorized Representative(Required)

Title of Authorized Representative(Required)

Date(Required)

New Vendor Application AIB

AIB Vendor Form

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