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SUPPLIER PROFILE
SUPPLIER NUMBERS FOR TA-VAD USE ONLY
TRIUMPH AEROSTRUCTURESVOUGHT AIRCRAFT DIVISION
Supplier Relations
1401 Nolan Ryan Expressway, 3NW
Arlington, TX 76011-4907
PO Supplier Code #
Invoice/Remit To Supplier Code #
Goods/Mfg Supplier Code #
SUPPLIER PURCHASE ORDER ADDRESS
Full Legal Name of Company:
Additional Company Name:
DBA
Street Address:
City:
State:
Subsidiary of
Parent Company
Zip Code+4:
Other
Country:
NOTE: For assistance reference: http://zip4.usps.com
If Mail Cannot be Received at Street Address, Provide PO Box:
PO Box City:
State:
Zip Code +4:
Country:
Designated Email or Fax Number for PO/RFQ transmittal:
Main Telephone Number:
Main Fax Number:
Length of Time in
Business:
If reorganized recently, previous name and length of
time in business:
Congressional District:
For assistance, refer to
http://www.contactingthecongress.org
SUPPLIER MANUFACTURING ADDRESS
(required for production-type suppliers & only if different than Purchase Order address above)
Street Address:
City:
State:
Zip Code+4:
Congressional District:
Mfg. Telephone Number:
Country:
Mfg. Fax Number:
SUPPLIER REMIT TO ADDRESS
Company or Bank Name:
Street Address/PO Box:
City:
State:
Zip Code+4:
Remit to Telephone Number:
Country:
Remit to Fax Number:
If U.S.-based company, choose preferred payment method:
Check
ACH (if ACH is selected, complete page 3)
OTHER REQUIRED SUPPLIER INFORMATION
US Federal TAX ID Number/Employer Identification Number (EIN) or SSN:
DUNS Number:
Type Of Business:
CAGE Code:
For assistance, refer to
http://www.dlis.dla.mil/BINCS/begin_search.aspx
Production
Company Web Address or Home Page:
Non-Production
Description Of Commodity/Services:
P0-F003 (05/2014)
Page 1 of 3
SUPPLIER PROFILE
SUPPLIER COMPANY CONTACT INFORMATION
Contact Title
Name
Phone #
Cell #
Fax #
Email
President/CEO
Contract Administrator:
Accounts Receivable
Remit-to Point of Contact
The following contacts required ONLY for Production Suppliers:
Quality Manager
Supplier Portal
Administrator (TA-VAD
Website)
SUPPLIER BUSINESS SIZE CERTIFICATION
Seller certifies that this is a (check ALL that apply):
Small Business
Large Business
Small Disadvantaged Business*
Native American-Owned Business
Alaskan Native Business
Historically Black College, University or Other Minority
Institution (HBCU/MI)
Woman-Owned Small Business
HUBZone Small Business (SBA Certified)**
Veteran-Owned Small Business
Service-Disabled Veteran-Owned Small Business
Non-Profit
Foreign
For assistance in determining business size, please refer to the following sources:
1) Federal Acquisition Regulations Part 19 and/or 13 CFR Part 121
2) Small Business Administration’s (SBA) website at http://www.sba.gov/size
3) SBA’s toll free number 1-800-U-ASK-SBA
Are you registered in SBA’s Dynamic Small Business Search database?
Yes
No
* If you are a Small Disadvantaged Business, please provide the primary and alternate NAICS (North American Industry
Classification System) code for the products and services you provide to TA-VAD. NOTE: For assistance in
determining your NAICS Code, reference http://sba.gov/size.
Primary NAICS
Alternate NAICS
** If you are an SBA Certified HUBZone Small Business, please provide a copy of your SBA certification letter.
NOTE: For assistance reference SBA’s Dynamic Small Business Search Database(formerly PRONET) at
http://dsbs.sba.gov/pro-net/dsp_dsbs.cfm
PENALTY CLAUSE:
Under 15 U.S.C. 645(d), any person who misrepresents a firm’s size status in order to obtain a contract to be awarded under the preference programs
established pursuant to section 8(a), 8(d), 9, or 15 of the Small Business Act or any other provision of Federal law that specifically references section
8(d) for a definition of program eligibility, shall be punished by imposition of fine, imprisonment, or both; be subject to administrative remedies, including
suspension and debarment; and be ineligible for participation in programs conducted under the authority of the Act.
NAME OF CERTIFYING OFFICIAL
TITLE
SIGNATURE
DATE
P0-F003 (05/2014)
Page 2 of 3
SUPPLIER PROFILE
ACH PAYMENT AUTHORIZATION
The ACH method of payment is a safe method to receive payment and allows immediate availability at your
bank. If you are a U.S.-based company and would like payments to be made via ACH fund transfer, please
provide the following information:
Triumph Aerostructures – Vought Aircraft Division LLC
EFT Authorization Form
The “company” referenced on the Company Name line below agrees to receive payments for such goods and
/or services by ACH through the National Automated Clearing House Association (NACHA) system. Triumph
Aerostructures – Vought Aircraft Division LLC agrees to provide such payments.
Company Information
Company Name
Remittance Address
City/State/Zip
Contact Name & Title
Email for Remittance Detail
Telephone
Signature
Depository Information
Beneficiary Bank Name
Bank Address
Bank Account Name
Bank Routing Number ABA
Bank Account Number
P0-F003 (05/2014)
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