Change of Vendor Information Form

Use this form to request changes to your existing vendor profile information. If you are a new vendor or if you would like to update your business name, tax classification or tax ID number, please complete the Substitute Form W-9.


If you have questions on filling out this form, please email vendor@pima.edu or call 520-206-2079.

 

Person completing the form

 
 

If you do not know your vendor code, please skip.

 
 
 

EIN=Employer Identification Number, OR SSN=Social Security Number

 

 

Are you making changes to any of the following?

Only complete the sections that you would like to update

 

> Exempt payee code

> Arizona sales tax ID (TPT)

> Main street address

 

 

> NAICS code

> Payment terms

> Vendor diversity

 

 

> Primary Contact's name, email, and/or phone number

> Remit address for payments

> Purchase order email

 

 

> Update direct debit/ACH information

> Add direct debit/ACH information

> Disable direct debit/ACH information

 
 
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