VINCe.

Vendor Set up Form

***Note: All fields in Section 1 MUST be completed along with submittal of required documents listed below to avoid any delays in adding the vendor to system***

Accounts Payable Setup/Change Request Form – Vendor Number:

1.  Payee Information

Date: 1/7/2014 / Requested By : / Division: ...... BPHAT-921CK-341CORP-103ENC-102KFR-401KFS-201KORR-422KORW-421LDG-581MYMI-221PHATL-583PHATW-582RTBB-901RTMW-881RTUK-981VINCE-561VN RTL-761 ...... ARP-662CRP-741ISISCN-941ISISUS-942OSD1-501OSD2-502OSDA-521OWS-381RR-681RRCAN-781Zobha-1041Zobha RT-1141
New Setup Add Site Banking Only Change
Inventory Vendor Type: ...... COMM-CommissionCONT-Contractor (CA Only)DUTY - DutyFABR-FabricFACT-FactoryFG-Finished GoodsOTRM-Other TrimPACK-PackagingTHRD-ThreadTRCK-TruckYARN-Yarn / Non Inventory Vendor Type: ...... CharityCustomer RefundDutyEmployeeEmployment AgencyGarnishmentGovernmentIndependant ContractorInsuranceLease and Leasehold ImprovementsLegal & Legal SettlementsMarketing/Advertising/Public RelationsMedicalOutside ServicesReal EstateRentalRoyaltyTemporary EmployeeTuitionUtilities
Vendor Name:
Remit To Address:
City: / State/Province/Country: / ZIP Code:
Phone No: () / Fax No: () / Primary Contact Name:
Primary Contact Email:
Payment Terms: / Payment Type: .....CheckWire (Banking Info Required)ACH (Banking Info Required)
FOB: ...... FOB OriginationFOB ConsigneeFOB ConsolidatorFOB Third Party BillingFOB DestinationNone / Freight Terms: ...... FCA-Free Carrier at Name PlaceFOB-FOB Port of CallCPT-Carriage Paid ToDDP-Delivered Duty PaidDDU-Delivery Duty UnpaidOther / Ship Via: ...... AIR - AirBOAT - BoatTRK - Truck

2.  ACH ONLY – ALL DOMESTIC PAYMENTS MUST BE ACH BANKING

3. 
Acct Name: / Bank Name: / Bank Address:
Bank Account #: / Bank Routing #:
Payment Remittance Email Address:
3. WIRE ONLY – ALL INTERNATIONAL PAYMENTS MUST BE WIRE BANKING
International Payee must provide WIRE Instructions including SWIFT
Acct Name: / Bank Name: / Bank Address:
Account/IBAN#: / Swift Code #:
Payment Remittance Email Address:
Payee Signature Authorization: / Date:

4.  Factor / Agent Information – use only if paying a 3rd party and NOT a factory

Factor: Agent: Add: Change:
Factor / Agent Name:
Remit To Address:
City: / State/Province/Country: / ZIP Code:
Phone No: () / Fax No: () / E-mail Address:

**Required Documents** 5. Approval

1. Completed Signed Setup Request
2. Invoice Copy or Blank Company LH
3. Completed Signed W-9
4. Requestor Signature / Requestor: / Date:
Manager Signature: / Date:
KFS VP: / Date:
Completed:

Revised 011/2013