Open Blue Sea Farms

FORMATO CREACION o ACTUALIZACION PROVEEDOR /VENDOR SET UP or UPDATE

REQUEST FORM

Informacion proveedor / Vendor Information:

Nombre / Name:*

Direccion / Address:*

Telefono / Phone #* Fax #:

URL:

Contact Name:*

Phone:*

Email:*

Tax Info:* (RUC in Panama/EIN in USA)

Payment information/Forma de pago

Beneficiary account/Numero de cuenta

Bank Name/Nombre del Banco
Tipo de cuenta (solo PMÁ.)
Bank ABA (Just US banks)
Bank SWIFT

Requestor Information:

Name: Date:

Signature:

Department:

Describe Vendor Product and/or Service(s)

SOLO PARA USO INTERNO / FOR INTERNAL USE ONLY

Approval:
Name: Date:
Signature:

All documents provided: YES/NO

Vendor Set Up in systems: YES/NO

RETURN COMPLETED AND APPROVED REQUEST TO FINANCE AND PURCHASE FOR PROCESSING