Beyond Vision

414.778.5800

WCAG 2.1 AA

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New Vendor Application

Beyond Vision>New Vendor Application

AIB Vendor Test

Beyond Vision Attn. Purchasing Department 5316 W. State Street Milwaukee, WI 53208 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

Primary Contact Email

Primary Contact Phone

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)

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

Minimum Order Dollar Amount(Required)

Shipping:

Origin

Destination

Vendor Lead Time

Please enter in Business Days

NAICS Codes

Tax ID/W9(Required)

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

Return Policy(Required)

Amount for Prepaid Delivery Minimum(Required)

Account Status(Required)

Net Terms (enter in other)

Credit Card

Other

Account Number with Supplier

889 Certificate Signed

Max. file size: 50 MB.

Small Business Certification(Required)

Max. file size: 50 MB.

GSA Contract # (If Applicable)

PLEASE NOTE:

Signature of Authorized Representative(Required)

Verification(Required)

By checking this box, I verify the typed name above as my signature for this New Vendor Form and all other data submitted.

Title of Authorized Representative(Required)

Date

MM slash DD slash YYYY

Internal Use ONLY

Vendor Code (Internal)

Company Category (Internal)

1099 Contractor

Consultant

Equipment

Manufacturer

MS

OS

Packaging

Person

Raw

Service

Supplies

Tax Agency

Tools

Wholesaler

Other

Major Product Groups (Internal)

Jan/San

Food Service

IEE

Packaging

PPE

Technology

Service

Tools

Clothing

Other

Buyer Group (Internal)

BUYERGRP1

BUYERGRP2

BUYERGRP3

BUYERGRP4

BUYERGRP5

BUYERGRP6

BUYERGRP7

Untitled

Consent

I agree to the privacy policy.

WCAG 2.1 AA

Tested on: 4/27/2021

Audited by analysts who are blind & visually impaired at Beyond Vision

Careers
- Virtual Career Fairs
Services
Events
About
Donate
- Capital Campaign

Contact Us
- Beyond Vision
  5316 W. State Street
  Milwaukee, WI 53208
  P: 414.778.5800
  F: 414.778.5805
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