Vendor Setup Request

Complete the form below to submit a new vendor request or update an existing vendor with COS Business Products & Interiors. All fields marked with an asterisk (*) are required.

Vendor Add / Maintenance Request

COS Business Products & Interiors

Request Type

New Vendor

Add a new vendor to the system

Existing Vendor Update

Update an existing vendor

Vendor Information

A completed W-9 or W-8BEN is required to process this request. Please attach it below.

Name of Firm *(Company or individual — as shown on tax return)

Business Name (if different from above)

Address Line 1 *

Address Line 2

City *

State / Province *

Zip / Postal Code *

Country *

Tax & Business Information

FEIN # *

SSN (if individual)

Type of Business *

Contact Information

Telephone Number *

Cell Number

Fax Number

Email Address *

Website

Payment & Terms

Forms of Payment Accepted *

Vendor offers a discount

ACH / Banking Instructions

Upload ACH instructions as a document and/or fill in the banking details below.

Upload ACH Instructions

Drag & drop files here, or click to browse

PDF, Word, Excel, or image files

Or fill in banking details manually:

Bank Name

Account Holder Name

Routing Number

Account Number

Account Type

Bank Address

Special Instructions

Remit To Address

Remit-to address is different from vendor address

Products / Services

Description of products/services provided to COS *

Submitted By

Your Name *

Date Requested

Attachments

A completed W-9 or W-8BEN is required to process this vendor request. Please attach it below along with any other supporting documents.

Upload W-9, W-8BEN & Supporting Documents

Drag & drop files here, or click to browse

PDF, Word, Excel, or image files accepted

I certify that all information provided is accurate and that the attached W-9 or W-8BEN is current and valid. *

Need help? Contact us at 423-624-0011 or mscherzer@cosonline.com