Vendor Setup Request

Company Name:

Address:

City:

State:

Zip Code:

Country:

Company Website:

Company Phone Number:

Fax Number:

FEIN#:

Type Of Business: https://www.irs.gov/pub/irs-pdf/fw9.pdf

Corporation LLC Sole Proprietor Other

Remit to address (if different from above):

City:

State:

Zip Code:

Country:

Reliance Account Number Assigned:

Purchasing Contact:

Telephone Number:

Fax Number:

Email Address:

Accounts Receivables Contact:

Telephone Number:

Fax Number:

Email Address:

Sales Representative Contact:

Telephone Number:

Fax Number:

Email Address:

Payment Terms:

1% 20 Days; Net 30
2% 20 Days; Net 30
Other

Payment Methods Accepted:

Credit Card ACH Check

ACH payment method:

If you accept ACH payment method then download this Vendor ACH Authorization Form, fill the ACH information and send us the signed copy of this form in email to accounts@reliancesupply.com.

Prepaid Freight Terms:

Return Policy:

Minimum Order:

Fasteners

Abrasives

Electrical

Vendor Setup Request Form

What Reliance Needs to Know:

How Reliance Communicates With Your Company

Products

Information