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Vendor Application UNIVERSITY USE ONLY

W:\Purchasing Office\Common\a Purchasing_Files\ Vendor Information\vendor_form_May 2020 Vendor Application (Revised 5 2020) New Vendor Update Vendor Info UNIVERSITY USE only Vendor #:_____ Entered by: _____ This Application must be submitted with a completed IRS W 9/W 8 form from the Vendor /individual. IRS documents can be found at: . If a completed W 9/W8 is not received, you and/or your company will not be added to the UNIVERSITY database. applications are taken by eMail only . eMail or fax back completed applications to: Email: Fax Number: (none) Wayne State UNIVERSITY Procurement 5700 Cass Avenue, Suite 4200 Detroit, MI USA 48202 | Phone Number: (313) 577 3734 Submitter s Signature: Date: Printed Name: Title: * I Certify that I have carefully examined this Application and I have determined that to the best of my knowledge and belief, the Information provided is complete and accurate Legal name of company or business: _____ (Name that is used on your Federal Tax Return.)

Vendor Application (Revised 5‐ ... UNIVERSITY USE ONLY ... The University is required by Federal law where applicable to report payments, along with the SSN/FEIN to ...

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