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

Upload W9 Form:*

Reliance Account Number Assigned:

Vendor Contact:*

Telephone Number:*

Fax Number:

Email Address:*

Accounts Receivables 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

Disclaimer: If credit card payment is selected, Reliance Supply will not pay any fees associated. Reliance recommends you not select credit card payment if any fees are associated to avoid complications.

ACH payment method:

If you accept ACH payment method then fill the ACH information and submit.

Remit to address (if different from above):

City:

State:

Zip Code:

Country:*

Free Freight PO Amount:*

Return Policy:*

Minimum Order:*

Fasteners

Abrasives

Electrical

Vendor Setup Request Form

How Reliance Communicates With Your Company

What Reliance Needs to Know:

Products

Information