VendorApplication.htm

VENDOR APPLICATION FORM
To be processed as a vendor we also require that a W-9 or W-8 form is completed and faxed to the Purchasing Department at 775-784-6017. The W 9 or W-8 form is located on the Purchasing web site on the "FORMS" page.

Business Name:		Federal Tax Identification #:
Address:	City:	State:	Zip:
Contact:		E-Mail:
Phone:		Fax:

Check appropriate categories
See definitions below

Dealer Manufacturer Retailer Agent Individual Sole Proprietorship Partnership

Corporation Small Business Concern Small Disadvantaged Business Concern Woman-Owned Business

Other Business Type:

Goods or services provided:

Normal Payment terms:

Normal Delivery time

Remittance address if different from above

Remit Name:

Remit Contact:

Remit Address:

Remit City:

Remit State:

Zip:

Remit Phone:

Remit Fax:

NOTES

SMALL BUSINESS CONCERN: a business concern that is independently owned and operated, not dominant in its field of operation, and certifiable as a small business by the Federal Small Business Administration using criteria and standards in 13CFR121.

SMALL DISADVANTAGED BUSINESS CONCERN: a small business concern that is unconditionally owned by one or more socially and economically disadvantaged individuals who manage and control its daily business, or a publicly owned business that has at least 51 percent of its stock unconditionally owned by one or more socially and economically disadvantaged individuals who manage and control its daily business.

WOMAN-OWNED SMALL BUSINESS CONCERN: a small business concern that is at least 51 percent owned by one or more women who manage and control its daily business, or a publicly owned business that has at least 51 percent of its stock owned by women who manage and control its daily business.

Prompt payment discounts are calculated from the date of receipt of a correct invoice or receipt of goods or services, whichever is later.

Invoices should be addressed as indicated on the purchase order.

All purchases of goods and services are to be preceded by a properly authorized purchase order

Inquiries regarding this form or any part of a purchasing process should be addressed to:

UCCSN
Purchasing Department / BCN
Mail Stop 242
Reno, NV 89557-0064
Phone:(775) 784-6552
FAX: (775) 784-6017

Purchasing Home

University of Nevada, Reno

Maintained by khoffman@unr.edu

Last updated:
04/29/08

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