S.J. Smith Supplier Worksheet

Welcome to the Supplier Information Worksheet

This worksheet was developed as a tool to gather information from our suppliers. The information you provide will allow us to more effectively do business with you. This information will only be used for our internal system, and will not be sold.

We appreciate your time,

Christopher Smith

csmith@sjsmith.com

(563) 324-5237

S.J. Smith Co. Inc.

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General Contact Information

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*1.	Enter the Vendor Number assigned to you by S.J. Smith from the fax you received from us: (up to 6 digits)

*2.	Please provide your company's full name.

Company Name

*3.	Enter your company's remit to address:

Address
Address
City
US State
Zip Code

4.	Enter your shipping/physical address. (If same as remit to address, skip this question):

Address
Address
City
US State
Zip Code