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Supplier Form

Supplier Form

Please fill out the form and Resco will get back to you at our earliest convenience.

Thank you.

Address Information

Company Name* DBA Address* City State* Zip Country*

Contact Information

First Name* Last Name* Job Title* Phone Number* 800/Secondary Phone Number* Fax Number Email* Web Address

Standard Codes and IDs

Federal Tax ID Dun and Bradstreet Number Standard Industry Code (SID) North American Industry Classification System Code (NAICS)

Sales Information

Annual Sales (USD) Number of Employees Year Company Started Has your company been involved in an acquisition, divestiture, merger, name change or other substantial change in management YES NO If yes, please provide detailed explanation Please advise which Resco Products locations you would like to provide goods/ services. Has your company done business in the past with Resco Products? YES NO If yes, please provide a detailed explanation including dates of former transactions as well as Resco Productsâ€™ location Which Resco Products Procurement area best matches your company's core product and/or service offering?

MRO (Materials, Repairs, Operating Supplies)
Industrial Services
Packaging Supplies
Raw Materials
General Services (Travel, Office Equipment)
Transportation
Tooling
Agent
Distributor
Manufacturer

Please provide a summary of your company's core product and/or service: Resco Products' standard payment terms are net sixty (60) days. Select all purchasing options that your company can support:

Purchase Power
Purchasing Credit Card
Online Ordering Available: website appearance/ordering process is a standard setup and CANNOT be customized for Resco Products
Online Ordering Available: website appearance/ordering process is a standard setup and CAN be customized for Resco Products

Does your company accept payment via Electronic Funds Transfer (EFT)? YES NO Is your company ISO 9001 certified? YES NO

77 - 60? : Please answer to determine you are human

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