Vendor Setup Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Vendor Type
*
U.S.
International
I wish to be paid by:
*
Check
Bank Transfer
Paypal
Please make check payable to:
Banking Information
Bank Name:
Name on Account:
Routing Number:
Account Number:
Banking Information
Bank Name:
Beneficiary Name:
IBAN:
SWIFT Code:
Account Number:
Is the email above the address to which you receive Paypal payments?
Yes
No
Paypal email address:
example@example.com
Please attach completed W9 Form:
Browse Files
Cancel
of
Blank W-9 Form
Please see W9 template here
if you need to complete one:
Questions/Comments:
Submit
Should be Empty: