Customer Inquiry English Spanish   SV NEW SUPPLIER & MAINTENANCE FORM   Type of Supplier Request New or Change COMPANY INFORMATION COMPANY NAME: ADDRESS LINE1: ADDRESS LINE2: CITY/ST/ZIP: PHONE#: FAX#: CONTACT PERSON: E-MAIL OF CONTACT PERSON: PRODUCT LIABILITY: SV Use Only Date Keyed: DSD Vendor Number: WHS Vendor Number: Category/Procurement Mgr: Initials of processor:   Account Payable Information(Remittance Information) DSD & Warehouse Vendors Remittance Name: Address: City/ST/ZIP: Contact Person: Payment Method: Wire Transfer:  Letter of Credit:   Payment Terms: Days Net    SV engages an outside firm to audit account payables and reserves the right to collect post audit claims for a period of four years from the date of an invoice. Vendor Representative Information(Broker)/Buying Agent COMPANY NAME ADDRESS LINE1: ADDRESS LINE2: CITY/ST/ZIP: PHONE# / FAX# CONTACT PERSON: DUNS#(if known): TAX ID $:(Required) E-MAIL ADDRESS:   VENDOR / BROKER SIGNATURE: (Mandatory - Signature Mag Be Typed)   CM/PM SIGNATURE: (Mandatory)   Date:     Date:           ©Copyright Mercados Suvianda 2008. All Rights Reserved.