Vendor Registration Form Template
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Vendor Registration Form
Please fill out the form below to become an authorized vendor with [Your Company Name]. Fill out all applicable sections and provide detailed responses where necessary. We look forward to a successful partnership with you.
I. Company Information
Company Name
Establishment Date
Company Registration Number
Registered Address
Company Type
Private Limited Company
Public Limited Company
Partnership
Sole Proprietorship
Corporation
Limited Liability Company (LLC)
Company Product/Service Description
Contact Information
Contact Person
Please provide your full legal name.
Phone number
References
Provide names and contact details of at least three business references.
Banking Details
Bank Name
Account Name
Account Number
Signature
By signing below, I certify that the information provided in this form is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in the rejection of our application or termination of any agreements formed as a result of this application. I also confirm that I am authorized to submit this form on behalf of the company.
Name:
Date:
Thank you for providing your details. We will review your application and get back to you shortly.
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