Reynolds School District #7 Vendor Information Form
Please complete all fields as completely as possible. If you need assistance or have questions, please contact us at procurement@rsd7.net
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New or Existing Vendor? *
Provide a brief description of goods or services sold and estimate of annual purchases (if possible) *
Vendor Information
Legal Name (as registered with the IRS) *
Business Name/DBA (if different than legal name)
Contact Information for Order Submission
Street Address *
City *
State *
Zip *
Phone *
Fax
Email *
PO Email *
Contact Information for Payment Remittance
Street Address *
City *
State *
Zip *
Phone *
Fax
Email *
Bank Information
In an effort to reduce payment processing time, we are pleased to offer payment via ACH. A paper check will be issued unless we receive authorization to issue ACH by completing the form below.

1099 Information
Taxpayer Identification Number (TIN) is Required
Tax ID Type *
Tax ID *
Address (Street, City, State, Zip) *
Dun & Bradstreet Number (DUNS, if applicable)
Federal Tax Classification *
If LLC, please select the type
Clear selection
Diverse Vendor (Check all that apply)
A diverse vendor is a business that is at least 51% owned and operated by an individual or group that is part of a transitionally underrepresented or underserved group
General Information
Customer Account Number *
Website *
Vendor Terms
Days until Payment is Due *
Discount
Required Internal Revenue Services Statement
Under penalties of perjury, the person signing this form certifies that:
(1) The number shown on this form is the payee's correct taxpayer identification number;
(2) The payee is not subject to backup withholding because:
       (a) the payee is exempt from backup withholding, or
       (b) the payee has not been notified by the IRS that the payee is subject to backup withholding as a result of failure to report interest or dividends, or
       (c) the IRS has notified the payee they are no longer subject to backup withholding, and
(3) The payee is a U.S. person (including a U.S. resident alien)
I have read and understand the above IRS Statement *
Required
Name of Person Completing this Form *
Title *
Submit
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