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SUPPLY CHAIN MANAGEMENT NEW SUPPLIER REQUEST FORM (For BUSINESS or INDIVIDUAL) Business Individual CHOOSE ONLY ONE (Please fill in the corresponding information for either Business or Individual) Entity: Individual Information: * FIRST NAME: Middle Initial: * LAST NAME: Unit/Bay#: * Country: Cell #: * Telephone #: *Email Address: Does the business or individual you are requesting have any current affiliations or is an employee with the University? * Name of Requestor: Department: Email completed form (required) and any supporting documentation to [email protected]. Once received Supplier Administration will contact the University of Calgary requestor with the new supplier ID number, as well as the supplier or individual for their EFT information. The University of Calgary is transitioning to mandatory EFT payments for Canadian Suppliers and Individuals. Supplier Administration will require new Canadian suppliers and individuals to submit EFT information for a more secure and efficient payment processing method. Please see the Supply Chain Management website for more information: http://www.ucalgary.ca/finance/finance-forms Revised 12/10/2019 * Street Suffix: * Full Name of Business: (Billing for U of C) Mailing Address: * Country: * Telephone #: Mailing Address: * Street #: * Street Name: Building Name: * Street Name: Bldg Name: * Email address of requestor: Date: Street Direction: * Province/State: GST Exempt Justification: * Postal/Zip Code: Street Direction: * Province/State: * Email Address: (PO Dispatch) GST/VAT Number - if applicable: * Postal/Zip Code: International Province/State: GST/VAT Number - if applicable: Secondary Email Address: University of Calgary initiator contact information * * Street Suffix: * City: Secondary Email Address: * GST Exempt Reason: Has the business or individual you are requesting received funding from the entrepreneurial thinking Initiative? Title: * Last Name: * Contact First Name: Ext: Cell#: Flr #: * City: International Province/State: Business Information : Required fields are indicated with an * Required fields are indicated with an * Unit/Bay#: * Street #:

(For BUSINESS or INDIVIDUAL) - University of Calgary in ...NEW SUPPLIER REQUEST FORM SUPPLY CHAIN MANAGEMENT (For BUSINESS or INDIVIDUAL) Entity: Business. Individual. CHOOSE ONLY

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Page 1: (For BUSINESS or INDIVIDUAL) - University of Calgary in ...NEW SUPPLIER REQUEST FORM SUPPLY CHAIN MANAGEMENT (For BUSINESS or INDIVIDUAL) Entity: Business. Individual. CHOOSE ONLY

SUPPLY CHAIN MANAGEMENTNEW SUPPLIER REQUEST FORM (For BUSINESS or INDIVIDUAL)

Business Individual CHOOSE ONLY ONE (Please fill in the corresponding information for either Business or Individual)Entity:

Individual Information:

* FIRST NAME: Middle Initial:* LAST NAME:

Unit/Bay#:

* Country:

Cell #: * Telephone #:

*Email Address:

Does the business or individual you are requesting have any current affiliations or is an employee with the University?

* Name of Requestor:

Department:

Email completed form (required) and any supporting documentation to [email protected]. Once received Supplier Administration will contact the University of Calgary requestor with the new supplier ID number, as well as the supplier or individual for their EFT information.

The University of Calgary is transitioning to mandatory EFT payments for Canadian Suppliers and Individuals. Supplier Administration will require new Canadian suppliers and individuals to submit EFT information for a more secure and efficient payment processing method. Please see the Supply Chain Management website for more information: http://www.ucalgary.ca/finance/finance-forms

Revised 12/10/2019

* Street Suffix:

* Full Name of Business:(Billing for U of C)

Mailing Address:

* Country:

* Telephone #:

Mailing Address: * Street #: * Street Name:

Building Name:

* Street Name:

Bldg Name:

* Email address of requestor:

Date:

Street Direction:

* Province/State:

GST Exempt Justification:

* Postal/Zip Code:

Street Direction:

* Province/State:

* Email Address:(PO Dispatch)

GST/VAT Number - if applicable:

* Postal/Zip Code: International Province/State:

GST/VAT Number - if applicable:

Secondary Email Address:

University of Calgary initiator contact information

* * Street Suffix:

* City:

Secondary Email Address:

* GST Exempt Reason:

Has the business or individual you are requesting received funding from the entrepreneurial thinking Initiative?

Title:* LastName:* Contact First Name:

Ext: Cell#:

Flr #: * City:

International Province/State:

Business Information : Required fields are indicated with an *

Required fields are indicated with an *

Unit/Bay#:

* Street #: