Supplier Accounts Receivable Profile

Supplier Company (Name) *

Existing Supplier Number

Street Address 1 *

Street Address 2

City *

State/Province *

Country *

Zip/Postal Code *

Telephone *

External Email (Supplier’s Accounts Receivable Email) *

Internal Email (Supplier’s email where KPS will send Purchase Orders) *

Supplier Purchasing Point of Contact (Name)

Supplier Accounts Receivable Point of Contact (Name)

Taxpayer Fed ID (FEIN) *

1099 Required? *

Payment Method *

Payment Terms *

Submission

KPS Global Contact Name *

Upload a Completed and Signed W-9 Form (PDF only) *

Click or drag a file to this area to upload.

KPS Employee who sent you the Accounts Receivable Profile link

Name

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Supplier Accounts Receivable Profile

Check Remit To Address

ACH Deposit of Payment - Bank Information

Submission