Supplier Registration

Page 1 of 5 Supplier Registration This registration is for US-based companies. Fields marked with * are required. Company Information Are you a U.S. citizen or a U.S. based company? Yes No Do not continue with this registration. This registration is for US-based companies or US citizens. For Foreign Individuals and Companies, complete the appropriate W8 and Wire Transfer forms using the links below. For Foreign Individuals For Foreign Companies Organization Type: * Corporation-For Profit Corporation-Not For Profit Estate/Trust Government Partnership Individual Sole Proprietor Statement of Employee Ownership Interest * Are you or any of the partners of the company an employee of Iowa State University, the Iowa Board of Regents, or any other state university in Iowa; or state agency in Iowa; or a spouse of an Iowa State University employee? Yes No Name of person employed by ISU, a Regent institution, or State of Iowa agency: * Name of Employing Agency: * Your relationship to person employed by ISU, a Regent institution, or State of Iowa agency: * Self Spouse Other Type name as it appears on the W-9 or Social Security Card. Supplier First Name: * Supplier Middle Initial: (Optional) Supplier Last Name: * Legal Name: * Trade Name (DBA or Doing Business As): Tax ID: * TIN SSN Social Security Number: * 9 Digit Number Required Tax ID Number: * 9 Digit Number Required DUNS Number: Must be a 9 digit number. Do not enter any dashes. UEI Number: (Optional) Also known as Unique Entity Identification number or SAM Number (12 characters). Do not enter your 5 character CAGE Code. W-9 * Files must be less than 10 MB . Allowed file types: gif jpg jpeg png pdf doc docx xlsx . If you don't have a W-9, go to https://www.irs.gov/pub/irs-pdf/fw9.pdf . Save the form, fill it out and upload it here. Could you accept payment by credit card(Visa)? * If no, payment will default to check. No Yes Would you like to be paid by Automated Clearing House (ACH)? * If no, payment will default to check. Yes No You have selected payments via ACH. ISU uses Paymode-X through USBank to send ACH payments. Your payments will default to check until you have registered with US Bank through their Paymode-X Network. You will receive an invitation from USBank/Paymode-X on how to register. This may take up to two weeks. Leave this field blank CAPTCHA Please fill out the following to prevent automated spam submissions.

Page 1 of 5 Supplier Registration This registration is for US-based companies. Fields marked with * are required. Company Information Are you a U.S. citizen or a U.S. based company? Yes No Do not continue with this registration. This registration is for US-based companies or US citizens. For Foreign Individuals and Companies, complete the appropriate W8 and Wire Transfer forms using the links below. For Foreign Individuals For Foreign Companies Organization Type: * Corporation-For Profit Corporation-Not For Profit Estate/Trust Government Partnership Individual Sole Proprietor Statement of Employee Ownership Interest * Are you or any of the partners of the company an employee of Iowa State University, the Iowa Board of Regents, or any other state university in Iowa; or state agency in Iowa; or a spouse of an Iowa State University employee? Yes No Name of person employed by ISU, a Regent institution, or State of Iowa agency: * Name of Employing Agency: * Your relationship to person employed by ISU, a Regent institution, or State of Iowa agency: * Self Spouse Other Type name as it appears on the W-9 or Social Security Card. Supplier First Name: * Supplier Middle Initial: (Optional) Supplier Last Name: * Legal Name: * Trade Name (DBA or Doing Business As): Tax ID: * TIN SSN Social Security Number: * 9 Digit Number Required Tax ID Number: * 9 Digit Number Required DUNS Number: Must be a 9 digit number. Do not enter any dashes. UEI Number: (Optional) Also known as Unique Entity Identification number or SAM Number (12 characters). Do not enter your 5 character CAGE Code. W-9 * Files must be less than 10 MB . Allowed file types: gif jpg jpeg png pdf doc docx xlsx . If you don't have a W-9, go to https://www.irs.gov/pub/irs-pdf/fw9.pdf . Save the form, fill it out and upload it here. Could you accept payment by credit card(Visa)? * If no, payment will default to check. No Yes Would you like to be paid by Automated Clearing House (ACH)? * If no, payment will default to check. Yes No You have selected payments via ACH. ISU uses Paymode-X through USBank to send ACH payments. Your payments will default to check until you have registered with US Bank through their Paymode-X Network. You will receive an invitation from USBank/Paymode-X on how to register. This may take up to two weeks. Leave this field blank CAPTCHA Please fill out the following to prevent automated spam submissions.

Page 1 of 5 Supplier Registration This registration is for US-based companies. Fields marked with * are required. Company Information Are you a U.S. citizen or a U.S. based company? Yes No Do not continue with this registration. This registration is for US-based companies or US citizens. For Foreign Individuals and Companies, complete the appropriate W8 and Wire Transfer forms using the links below. For Foreign Individuals For Foreign Companies Organization Type: * Corporation-For Profit Corporation-Not For Profit Estate/Trust Government Partnership Individual Sole Proprietor Statement of Employee Ownership Interest * Are you or any of the partners of the company an employee of Iowa State University, the Iowa Board of Regents, or any other state university in Iowa; or state agency in Iowa; or a spouse of an Iowa State University employee? Yes No Name of person employed by ISU, a Regent institution, or State of Iowa agency: * Name of Employing Agency: * Your relationship to person employed by ISU, a Regent institution, or State of Iowa agency: * Self Spouse Other Type name as it appears on the W-9 or Social Security Card. Supplier First Name: * Supplier Middle Initial: (Optional) Supplier Last Name: * Legal Name: * Trade Name (DBA or Doing Business As): Tax ID: * TIN SSN Social Security Number: * 9 Digit Number Required Tax ID Number: * 9 Digit Number Required DUNS Number: Must be a 9 digit number. Do not enter any dashes. UEI Number: (Optional) Also known as Unique Entity Identification number or SAM Number (12 characters). Do not enter your 5 character CAGE Code. W-9 * Files must be less than 10 MB . Allowed file types: gif jpg jpeg png pdf doc docx xlsx . If you don't have a W-9, go to https://www.irs.gov/pub/irs-pdf/fw9.pdf . Save the form, fill it out and upload it here. Could you accept payment by credit card(Visa)? * If no, payment will default to check. No Yes Would you like to be paid by Automated Clearing House (ACH)? * If no, payment will default to check. Yes No You have selected payments via ACH. ISU uses Paymode-X through USBank to send ACH payments. Your payments will default to check until you have registered with US Bank through their Paymode-X Network. You will receive an invitation from USBank/Paymode-X on how to register. This may take up to two weeks. Leave this field blank CAPTCHA Please fill out the following to prevent automated spam submissions.

Page 1 of 5 Supplier Registration This registration is for US-based companies. Fields marked with * are required. Company Information Are you a U.S. citizen or a U.S. based company? Yes No Do not continue with this registration. This registration is for US-based companies or US citizens. For Foreign Individuals and Companies, complete the appropriate W8 and Wire Transfer forms using the links below. For Foreign Individuals For Foreign Companies Organization Type: * Corporation-For Profit Corporation-Not For Profit Estate/Trust Government Partnership Individual Sole Proprietor Statement of Employee Ownership Interest * Are you or any of the partners of the company an employee of Iowa State University, the Iowa Board of Regents, or any other state university in Iowa; or state agency in Iowa; or a spouse of an Iowa State University employee? Yes No Name of person employed by ISU, a Regent institution, or State of Iowa agency: * Name of Employing Agency: * Your relationship to person employed by ISU, a Regent institution, or State of Iowa agency: * Self Spouse Other Type name as it appears on the W-9 or Social Security Card. Supplier First Name: * Supplier Middle Initial: (Optional) Supplier Last Name: * Legal Name: * Trade Name (DBA or Doing Business As): Tax ID: * TIN SSN Social Security Number: * 9 Digit Number Required Tax ID Number: * 9 Digit Number Required DUNS Number: Must be a 9 digit number. Do not enter any dashes. UEI Number: (Optional) Also known as Unique Entity Identification number or SAM Number (12 characters). Do not enter your 5 character CAGE Code. W-9 * Files must be less than 10 MB . Allowed file types: gif jpg jpeg png pdf doc docx xlsx . If you don't have a W-9, go to https://www.irs.gov/pub/irs-pdf/fw9.pdf . Save the form, fill it out and upload it here. Could you accept payment by credit card(Visa)? * If no, payment will default to check. No Yes Would you like to be paid by Automated Clearing House (ACH)? * If no, payment will default to check. Yes No You have selected payments via ACH. ISU uses Paymode-X through USBank to send ACH payments. Your payments will default to check until you have registered with US Bank through their Paymode-X Network. You will receive an invitation from USBank/Paymode-X on how to register. This may take up to two weeks. Leave this field blank CAPTCHA Please fill out the following to prevent automated spam submissions.

Page 1 of 5 Supplier Registration This registration is for US-based companies. Fields marked with * are required. Company Information Are you a U.S. citizen or a U.S. based company? Yes No Do not continue with this registration. This registration is for US-based companies or US citizens. For Foreign Individuals and Companies, complete the appropriate W8 and Wire Transfer forms using the links below. For Foreign Individuals For Foreign Companies Organization Type: * Corporation-For Profit Corporation-Not For Profit Estate/Trust Government Partnership Individual Sole Proprietor Statement of Employee Ownership Interest * Are you or any of the partners of the company an employee of Iowa State University, the Iowa Board of Regents, or any other state university in Iowa; or state agency in Iowa; or a spouse of an Iowa State University employee? Yes No Name of person employed by ISU, a Regent institution, or State of Iowa agency: * Name of Employing Agency: * Your relationship to person employed by ISU, a Regent institution, or State of Iowa agency: * Self Spouse Other Type name as it appears on the W-9 or Social Security Card. Supplier First Name: * Supplier Middle Initial: (Optional) Supplier Last Name: * Legal Name: * Trade Name (DBA or Doing Business As): Tax ID: * TIN SSN Social Security Number: * 9 Digit Number Required Tax ID Number: * 9 Digit Number Required DUNS Number: Must be a 9 digit number. Do not enter any dashes. UEI Number: (Optional) Also known as Unique Entity Identification number or SAM Number (12 characters). Do not enter your 5 character CAGE Code. W-9 * Files must be less than 10 MB . Allowed file types: gif jpg jpeg png pdf doc docx xlsx . If you don't have a W-9, go to https://www.irs.gov/pub/irs-pdf/fw9.pdf . Save the form, fill it out and upload it here. Could you accept payment by credit card(Visa)? * If no, payment will default to check. No Yes Would you like to be paid by Automated Clearing House (ACH)? * If no, payment will default to check. Yes No You have selected payments via ACH. ISU uses Paymode-X through USBank to send ACH payments. Your payments will default to check until you have registered with US Bank through their Paymode-X Network. You will receive an invitation from USBank/Paymode-X on how to register. This may take up to two weeks. Leave this field blank CAPTCHA Pleas