Vendor Application – United Material Handling, Inc

Vendor Application

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1. Company Name

2. Corporate Company Address

Address Line 1

Address Line 2

City

State

Zip Code

3. Remittance Address (If difference Than Above)

Address Line 1

Address Line 2

City

State

Zip Code

4. Accounts Receivable Contact

Contact We will Coordinate Pyament With

5. Accounts Receivable Phone Number

6. Account Receivable Email

7. Email Address To Send Purchase Orders To

8. Controller / CFO Contact

9. Controller / CFO Contact Phone

10. Controller / CFO Contact Email

12. W9 Upload

Click or drag a file to this area to upload.

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