AAA Facility Services

Vendor Information Form

* Required Field

Are you being requested to perform a service for AAAFS?*

Yes

Company Name (as shown on your income tax return)*

Business name(DBA), if different from above

Address*

City*

State*

Select

Zip Code*

Primary Contact*

Primary Contact Email*

Telephone Number*

Phone

Cell Phone Number*

Phone

Emergency Services Available ?

Trades*

Select

Please list the counties you service*

Please select the states you have coverage in*

Select

Do you do service the state of Texas ?*

Yes

Credit Cards Accepted*

Select

State Contractors License #*

If you are not licensed type "None"

Federal Tax ID Number - no spaces or dashes (SUBMIT W9)*

W9 Form

Minority or Small Business Certified ? (SUBMIT CERTIFICATION)*

Yes

Certification Type*

Select

Required Insurance (select all that apply and attach COI below)*

Sample Ins Cert

Select

Requested Documents, please attach (W9, COI)

Drag and drop files here or

Name of AAAFS Rep that sent you this form*

Form Entered By (First and Last Name)*

Form Entered By (Email Address)*

Next Step :

After you click “Submit” below, you will receive the Master Service Agreement (MSA) in a separate email, sent directly from ‘Adobe Sign’. You will be able to review and sign the document directly through Adobe. Should you have any questions regarding our MSA, please feel free to inquire with AP@aaafs.com. Our Accounts Payable Team will be happy to clarify any points and/or resolve any concerns you may have. Thank you!

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