Vendor Set Up and Payment Form

Vendor Set Up and Payment Form
ATTENTION VENDOR! A PURCHASE ORDER IS REQUIRED FOR ALL INVOICE TO BE PAID

PLEASE INCLUDE THE PO NUMBER ON ALL SUBMITTED INVOICES.
What Type of Information are you submitting*

Banking Information for ACH/Wire PaymentVendor Insurance InformationW9 DocumentationIdentification
Company Name
Billing Contact Name*

First NameLast Name
Tax ID #
Phone Number*

Country CodeArea CodePhone Number
Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
WE DO NOT PAY VENDORS UPON RECEIPT UNLESS THE TRANSACTION IS PRE-APPROVED BY THE GENERAL MANAGER OF THE LOCATION AND THE ACCOUNTING DEPARTMENT HAS BEEN NOTIFIED BEFORE SERVICES ARE ORDERED OR PROVIDED

WE DO NOT PAY VENDORS BEFORE 30 DAYS.

IF NO PURCHASE ORDER IS ON THE INVOICE WHEN RECEIVED IN THE ACCOUNTING DEPARTMENT IT WILL TAKE 60 DAYS TO PROCESS THE PAYMENT

We make monthly vendor payments on the 5th of each month.
Banking Information for Electronic Payment
Bank/Financial Institution Name
Bank/Financial Institution Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bank Phone
Please enter a valid phone number.
Account Type

CheckingSavings
Bank 9 Digit Routing #
Account #
Vendor Liability Insurance Information
Liability Insurance Company Name
Phone Number
Please enter a valid phone number.
Insured Individuals Name

First NameLast Name
Policy Number
Expiration
W9 Form

And

Certificate of Insurance submission for Service Providers is required
Upload Proof of Insurance Here

Cancelof
W9 With Instructions
Other Info that may be helpful to us?
Signature

Clear
SAFETY REQUIREMENTS AT ALL JEFF MARTIN AUCTIONEERS, INC. LOCATIONS

ALL VENDORS MUST PROVIDE THEIR SAFETY GEAR AND SUPPLIES FOR ENTRY TO OUR LOCATIONS

HIGH-VIS CLOTHING OR VEST MUST BE WORN

EYE PROTECTION AND EAR PROTECTION SHOULD BE WORN FOR ACTIVITIES WHERE INJURY COULD HAPPEN.

HARD HATS AND SAFETY HARNESS IS REQUIRED IN ANY WORK WHERE THAT WILL TAKE PLACE MORE THAN 6 FT OFF THE GROUND.

ALL VENDORS MUST CHECK IN WITH THE SITE MANAGER UPON ARRIVAL

NO VENDOR SHOULD HAVE EMPLOYEES ON OUR SITE WHO ARE UNDER THE AGE OF 18 YEARS OLD.
Please verify that you are human*
Should be Empty:

Vendor Set Up and Payment Form

ATTENTION VENDOR! A PURCHASE ORDER IS REQUIRED FOR ALL INVOICE TO BE PAID

Banking Information for Electronic Payment

Vendor Liability Insurance Information

W9 Form

And

Certificate of Insurance submission for Service Providers is required