Vendor Setup & Information Form

Welcome! Please complete all sections of this form for our Accounts Payable Department. This information is required to set up your company as a vendor in our system and ensure proper payment processing. To ensure timely payments, we process vendor payments via ACH.

This submission is for:

New Vendor Reqest

Updated Vendor Information

Legal Company Name:*

DBA (Doing Business As), if different:

Taxpayer ID Number (SSN / EIN):*

Business Structure:*

C Corporation

S Corporation

LLC

Partnership

Sole Proprietorship

Other

Requested Payment Terms (Net Days)

Primary Business Address:*

Primary Business Address:

Country/Region*

Address*

City*

Zip / Postal code*

Primary Contact Name:*

Title:*

Email*

Phone*

Additional/Different AR Contact Information

Payment Remittance Email (if different from Primary Email):

We'll send payment remittance information to all addresses on file

Please attach completed documents:

Completed and Signed IRS Form W-9 (PDF)
Completed and Signed Summit Beverage EFT Enrollment Form (PDF)
Voided Check or Bank Letter with Company Information for Validation

File upload*

AUTHORIZATION

I certify that the information provided in this form is true and accurate.

Authorized Signature:*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Name:*

Title:*

Date:*

bottom of page