MotorolaGlobalVendorRequestForm.docx
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MotorolaGlobalVendorRequestForm
GLOBALVENDORINFORMATIONREQUESTFORM
Ifaddinganewvendor,pleasecompletepages1-3.Otherwisefilloutinformationtobechanged.
AddNewVendorAddNewAPSiteAddNewPOSite
UpdateVendorInformationUpdateAPSite/NameChangeUpdatePOSiteDetails
TagtoAmericas(seepage4)TagtoATC(seepage5)TagtoEMEA
DeactivateVendorSiteTag_____forUpdateSystemtoTag
VendorInformation:
CompanyName:
FormerName:
VendorNumber:
VendorSite#:
D&B#:
PaymentTerms:
(NeedssignatureapprovalfromSectorControllerifotherthannet45)
SectorControllerSignature(ifotherthannet45):
ScheduleSharingVendor:
√YesNoRFQOnlyVendor#:
Yes√No
*VendorContactName(forTIGERS):
*VendorContactPhone#(forTIGERS):
*VendorE-mailAddress(forTIGERS):
OrganizationType:
CorporationPartnershipIndividual/SoleProprietorship
GovernmentAgencyUtilityOther_________________
*OrderMethod(forTIGERS):
EDITPEE-mailOther:
PaymentMethod:
CheckEFT(Filloutpage6)WireTransfer(Filloutpage7)
SupplierInvoiceMethod:
PayOnInvoice(POI)PayfromReceipt(PFR)
*RegionsIdentifier(forTIGERS):
AmericasEMEAAsia
*RequiredifrecordistaggedtoTIGERS
APSiteDetails:
NewSite(ifapplicable):
FormerSite(ifapplicable):
N/A
NewRemittoAddress:
OldRemittoAddress:
City/State:
Province:
Country/PostalCode:
ARContactName:
ARContactPhone#:
ARContacte-mailaddress:
ARFax#:
PaydateBasis(DueorDiscount)TakeDiscount(Yes/No)
InvoiceCurrency:
PaymentCurrency:
POSiteDetails:
SameasAPSite:
Yes.OmitthissectionNo.Pleasecompletethissection
FormerPOSite(ifapplicable):
NewRemittoAddress:
OldRemittoAddress:
City/State:
Province:
Country/PostalCode:
ContactName:
ContactPhone#:
()
Contacte-mailaddress:
POFax#:
()
PaydateBasis(DueorDiscount)TakeDiscount(Yes/No)
InvoiceCurrency:
PaymentCurrency:
AlternatePaySite(ifapplicable):
LocalSystemtoTag:
(Checkallthatapply)
System
SiteTagCode
OperatingUnitDesc.
APSite
POSite
AMERICAS-FSS
AMERICAS-FSS:
CA
CANADA
AMERICAS-FSS
AMERICAS-FSS:
MINC
UNITEDSTATES
AMERICAS-FSS
AMERICAS-FSS:
MX
MEXICOCITY
AOFS
AOFS-AU
AUSTRALIA
AOFS
AOFS-CHN
CHINA
AOFS
AOFS-HK
HONGKONG
AOFS
AOFS-ID
INDONESIA
AOFS
AOFS-IND
INDIA
AOFS
AOFS-JPN
JAPAN
AOFS
AOFS-KR
KOREA
AOFS
AOFS-MIEL
MIEL
AOFS
AOFS-MY
MALAYSIA
AOFS
AOFS-NZ
NEWZEALAND
AOFS
AOFS-PH
PHILIPPINES
AOFS
AOFS-SGP
SINGAPORE
AOFS
AOFS-SMART
SMART
AOFS
AOFS-TH
THAILAND
AOFS
AOFS-TWN
TAIWAIN
AOFS
AOFS-VN
VIETNAM
LIFESCIENCE
BIOCHIP
MOTOROLABIOCHIP
EMEA-FSS
EMEA-FSS:
CORK
CORKIRELAND
EMEA-FSS
EMEA-FSS:
DK
DENMARK
EMEA-FSS
EMEA-FSS:
FR
FRANCE
EMEA-FSS
EMEA-FSS:
GE
GERMANY
EMEA-FSS
EMEA-FSS:
IE
IRELAND
EMEA-FSS
EMEA-FSS:
IT_RD
ITALY
EMEA-FSS
EMEA-FSS:
IT_SPA
ITALYSPA
EMEA-FSS
EMEA-FSS:
MSSA
FRANCE
EMEA-FSS
EMEA-FSS:
NL
NETHERLANDS
EMEA-FSS
EMEA-FSS:
NO
NORWAY
EMEA-FSS
EMEA-FSS:
SE
SWEDEN
EMEA-FSS
EMEA-FSS:
UK
UK
NSS
GTSS:
TIANJIN
GTSSOTCSYSTEM-TAINJIN
NSS
NSS:
FRANCE
NSS
NSS
NSS:
SWINDON
NSS
TIGERS
TIGERS:
APPROVED
TIGERS:
APPROVED
TIGERS
TIGERS:
PREFERRED
TIGERS:
PREFERRED
RequestorInfo:
Requestedby:
Signature:
Phone:
Date:
CoreID/E-mail:
BusinessGroup:
Purchasingand/orTIGERSApprovalSignature:
RequestorinformationisrequiredfornotificationofGVMsetup.
WheretoSendForms:
Pleasefaxthiscompletedformandrequiredattachmentstoappropriateservicecenter:
US-FSS:
+1-847-538-2455EMEA-FSS(UK):
+44-131-479-7190
EMEA-FSS(Germany):
+44-131-479-7190ASIA-FSS(CHN,SGP,HK,TW,ANZ,ASEAN):
+86-22-25208155
ASIA-FSS(JPN):
+86-22-6620-1547(KR):
+82-2-3466-5059(IND):
+91-80-5596470
GLOBALVENDORINFORMATIONREQUESTFORM–ADDITIONALAMERICASINFORMATION
ThisinformationistobefilledoutifvendoristaggedtoAmericas
AdditionalAmericasInformation:
FederalTaxIDNumber:
______-_____________________
FederalTaxIDNumberisrequiredunlesscompanytaxreturnsarefiledunderanowner’ssocialsecuritynumber.
SocialSecurityNumber:
_________-______-____________
NOTE:
GLOBALVENDORINFORMATIONREQUESTFORM–ADDITIONALATCINFORMATION
ThisinformationistobefilledoutifvendoristaggedtoATC
AdditionalATCInformation:
CompanyName(LocalLanguage):
TaxIDNumber:
CompanySales:
Year:
NumberofYearsinBusiness:
Major(active)Customers:
MotorolaFacilitiesCurrentlyDoingBusinessWith:
MajorProducts/Services:
CompanyOwner(DenialPerson’sListverification)?
:
Bankchargebearer:
Pleaseattachcopiesofdocument(whereapplicabletocountry)
a.BusinessRegistrationCertificate/BusinessLicense
b.MemorandumofArticlesandAssociation/DirectorsName
c.Bankstatements/BankLetter
d.TaxRegistration
e.CopyofInvoiceorCompanyLetterheadwithaddress
Declaration:
I/WeherebydeclaretheinformationprovidedabovetobetrueandcorrectandnoemployeeofMotorolahasanyvestedinterestinmy/ourcompany.PermissionisherebygrantedtoMotorolatoinquireuponanyperson,companyorauthorityregardingmy/ourbusinessstatus.
__
Name/Title(vendor)Authorizedsignature$Companystamp
__
Name/Title(Motorolarequestor)Signature
__
MotorolaFinancemanagerApprovalsignature
__
Commodity/SourcingManagerSourcingDirector
EFTENROLLMENTFORM
ThisinformationistobefilledoutifvendorisselectingEFT
AddaNewBankAccountModifyExistingBankAccountDeleteBankAccount
SupplierInformation:
SupplierNameSupplierID:
BankT/RNumber:
BankName:
Branch#
AccountNumber:
BankContact:
BankAddress:
City:
State:
Zip:
AccountType:
______Checking______SavingsBankPhoneNumber:
Payment/RemittanceOptions:
______OptionAElectronicpaymentwithremittancedetailviaEDIBANXorACHCTX.
NOTE:
IfyourcompanyisamemberofEDIBANXbydefaultthepaymentwill
besentviaEDIBANXunlessnotedotherwise.
______OptionBElectronic(ACHCCD+)paymentwithdirect820remittancedetail.
VANName:
________________________________________
ISA07:
____________________________________________
ISA08:
____________________________________________
Version:
____________________________________________
______OptionCElectronic(ACHCCD+)paymentwithfaxremittancedetail.
Name:
_____________________________________________
FaxNumber:
________________________________________
SupplierContactInformation:
ContactName:
_______________________________________________________
PhoneNumber:
_____________________________________FaxNumber:
___________________________________
Authorizedby:
_____________________________________PhoneNumber:
_________________________________
FORBANKUSEONLY
Enteredby:
________________________________________Date:
_______________Time:
_______________
Verifiedby:
________________________________________Date:
_______________Time:
_______________
WIREENROLLMENT/NETTINGREQUESTFORM
ThisinformationistobefilledoutifvendorisselectingWireTransfer
DATEREQUESTED:
SUBMITTEDBY:
COMPANYNAME:
COMPANYADDRESS:
CITY:
STATE:
ZIP/POSTALCODE:
COUNTRY:
BANKACCOUNTNUMBER:
PAYMENTCURRENCY:
BANKSWIFTCODE(8or11DigitAlpa/NumericRouting#):
CANADAVENDORSONLY–PleasebeadvisedwhenMotorolamakesapaymentviawiretransferitissentoutthroughourNettingCenterinEngland.InorderforaCanadianBanktosupplyaSwiftCodepleaseletthebankknowthatyourcompanywillbereceivingapaymentfromoutofthecountry.
BANKNAME:
BANKSTREETADDRESS:
CITY:
STATE:
ZIP/POSTALCODE:
COUNTRY:
*AllabovefieldsmustbefilledoutcompletelytobesetuponWireTransfer–Incompleteformswillberejected
AdditionalBankInformation:
CORRESPONDENTBANKSWIFTCODE:
CORRESPONDENTBANKNAME:
BANKSTREETADDRESS:
CITY:
STATE:
ZIP/POSTALCODE:
COUNTRY:
RemitToAdvice:
FAXOREDI(COMPLETEONEOPTION)*
FAXREMITTANCEADVICETO:
FAXNUMBER:
CountryCode:
CityCode:
PhoneNumber:
OR
BANKEDIIDNUMBER:
*Musthaveoneoftheoptionsforremittancedetailfilledout–Incompleteformswillberejected.
AUTHORIZEDBY:
___________________________________________________________________________
PHONENUMBER:
CountryCode:
CityCode:
Phone:
FAXNUMBER:
CountryCode:
CityCode:
Phone: