Vendor Supplier Information


Unisource is currently updating our vendor contact information in an effort to better serve our business partners. Please complete the required fields below. We also ask that you complete and fax a W9; IRS link and information on the bottom of the form. Unisource is committed to providing quality and service.


We thank you for your cooperation and continued business.


* Required Information
* Vendor Number (Please refer to our request letter):
* Company Name:
  Doing Business As:
  Company Website Address / URL:
* Physical Address:
   
* City:
* State:
* Zip or Postal Code:
 
Primary Contact
* First Name:
* Last Name:
  Title/Department:
* Telephone:
* E-mail address:
  Fax:
 
Secondary Contact (optional)
  First Name:
  Last Name:
  Title/Department:
  Telephone:
  E-mail address:
  Fax:
 
Tax Requirements
* Fax Completed W-9 to 770-651-9640.
W-9 can be retreived from the following link: http://www.irs.gov/pub/irs-pdf/fw9.pdf?portlet=3