SUPPLIER MAINTENANCE
Return completed form to: [email protected] ITEM OR SERVICE PURCHASED: COMPANY NAME: VENDOR CODE: PLANT LOCATION / SITE: VENDOR REQUESTED BY: ADDRESS: CITY: CONTACT NAME: FAX NO.: EMAIL ADDRESS: LINE 2: STATE: TELEPHONE NO.: ZIP:
(Use drop down)
DATE REQUESTED: SUPPLIER IS: ACTION REQUESTED:
11/7/2013
CSP'S PAYMENT TERMS ARE N60. ANYTHING ELSE REQUIRES PRIOR APPROVAL BY CORPORATE PURCHASING. WITHOUT PRIOR APPROVAL, CSP TERMS WILL DEFAULT. TERMS: If Other, explain: Remit To Information (If different from above). ACH* / WIRE** Available. See form(s) attached. *Within the USA / **Outside the USA. COMPANY NAME: ADDRESS: CITY: Do you require a 1099; If YES, provide TAX ID or SSN LINE 2: STATE: ZIP:
CERTIFICATIONS: Please provide a copy Quality Certification (ISO/TS)? Environmental Certification? Are you a certified Minority or Woman Owned Supplier? Expiration date: Expiration date: Expiration date:
Information for Suppliers We reserve the right to audit your processes at your facility in regards to our products. You will be required to provide NAFTA documentation annually. You will be required to provide IMDS information. You will be required to provide a cost breakdown with any quotation. A 24 hour contact is required. You will be required to execute a Confidentiality agreement. You will be required to agree to CSP's Terms and Conditions. Please provide a copy of any certificate's. Please provide a copy of your organizational chart. Please provide a copy of your sustainability policy. Please provide a copy of your ethics policy.
Add Supplier Comments Below:
Submitted By: Phone:
Effective 04/01/13
Authorization Agreement for Automatic Deposits (ACH Payments)
Company Name: Company Information: Street Address City, State, Zip Bank Information: Bank Name Street Address City, State, Zip
Bank Routing Number (Must be 9 digits): Bank Account Number:
Account Type:
Checking Savings
Bank Contact: Bank Phone Number: I hereby authorize Continental Structural Plastics to make deposits in the account identified above. This authorization shall remain in effect until written notice of termination is given to the Company.
Signature
Date
Printed Name
Phone Number
In order to receive remittance detail, please provide a contact name and email address:
Name
Email Address
755 West Big Beaver, Suite 700, Troy, Michigan 48084 248-593-9500 Fax: 248-593-9519
Authorization Agreement for Wire Payments
Bank Routing Number (Must be 9 digits): Bank Account Number: Swift ID: Bank Contact: Bank Phone Number:
I hereby authorize Continental Structural Plastics to make deposits in the account identified above. This authorization shall remain in effect until written notice of termination is given to the Company.
Signature
Date
Printed Name
Phone Number
In order to receive remittance detail, please provide a contact name and email address:
Name
Email Address
755 West Big Beaver, Suite 700, Troy, Michigan 48084 248-593-9500 Fax: 248-593-9519
