Supplier Information Form

BODEC is constantly looking to improve our products and services. If you supply materials or subcontract services and would like to become involved with our projects, please complete the form below.

This form requires the submission of a W9 for the Supplier. The link below is provided for your convenience.

https://www.irs.gov/pub/irs-pdf/fw9.pdf

Completed Supplier Information Form and W9 will be submitted to BODEC’s purchasing department for final review and approval.

Step 1 of 4 - General Information

General Information

Licensed Business Name

DBA (If Applicable)

Main Address

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

Remittance Address

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

Main Phone Number

Main Email Address

Website Address

Supplier Information Form

General Information

Contact Information

Accounting

Sales

Tax Information

Tax Disclosure Statement