New Vendor Form

Vendor Set Up - Contact Information

Please fill out the vendor contact information below and upload their signed W-9. If you do not have a W-9 for your vendor, you can download and save from the link below and provide to vendor before attempting to complete this form. NOTE: W-9 is not required for Brenau Students or Employees, or for refunds to companies/individuals for amounts previously paid to Brenau.

**If you plan to pay your vendor with a Brenau purchasing card, you do not need a new vendor set up. You will use BB&T Bankcard Services as your vendor.

Click this link to download a blank W9 Form

Person Requesting New Vendor*

Is Vendor located in the US?*

Yes No

Is Vendor a Brenau Employee or Student?*

Yes No

Is the Vendor being created soley for purposes of paying them a refund of amount previously paid to Brenau?*

Yes No

Vendor Name (Company, DBA and/or Individual)*

Vendor Contact Name*

First Name

Last Name

Vendor Contact Phone Number*

Vendor Contact Phone Number (Int'l)*

Vendor Contact Email*

International Address*

Employee/Student/Vendor Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Completed Vendor Form W-9 Attachment *

No File Chosen

File uploads may not work on some mobile devices.

You can download the blank form here: https://www.irs.gov/pub/irs-pdf/fw9.pdf or click the W9 Form link in the header of this form.