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Supplier Registration

This registration is for US-based companies. Fields marked with * are required.

Company Information

Are you a U.S. citizen or a U.S. based company?

Yes

Do not continue with this registration. This registration is for US-based companies or US citizens.

For Foreign Individuals and Companies, complete the appropriate W8 and Wire Transfer forms using the links below.

Organization Type: *

Statement of Employee Ownership Interest *

Are you or any of the partners of the company an employee of Iowa State University, the Iowa Board of Regents, or any other state university in Iowa; or state agency in Iowa; or a spouse of an Iowa State University employee?

Yes

Name of person employed by ISU, a Regent institution, or State of Iowa agency: *

Name of Employing Agency: *

Your relationship to person employed by ISU, a Regent institution, or State of Iowa agency: *

Self

Spouse

Other

Type name as it appears on the W-9 or Social Security Card.

Supplier First Name: *

Supplier Middle Initial: (Optional)

Supplier Last Name: *

Legal Name: *

Trade Name (DBA or Doing Business As):

Tax ID: *

TIN

SSN

Tax ID Number: *

9 Digit Number Required

DUNS Number:

Must be a 9 digit number. Do not enter any dashes.

UEI Number: (Optional)

Also known as Unique Entity Identification number or SAM Number (12 characters). Do not enter your 5 character CAGE Code.

W-9 *

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xlsx.

If you don't have a W-9, go to https://www.irs.gov/pub/irs-pdf/fw9.pdf. Save the form, fill it out and upload it here.

Could you accept payment by credit card(Visa)? *

If no, payment will default to check.

Yes

Would you like to be paid by Automated Clearing House (ACH)? *

If no, payment will default to check.

Yes

You have selected payments via ACH. ISU uses Paymode-X through USBank to send ACH payments. Your payments will default to check until you have registered with US Bank through their Paymode-X Network.

You will receive an invitation from USBank/Paymode-X on how to register. This may take up to two weeks.

Leave this field blank

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