LOB Information Required: - BMO
[pic] New Supplier Set up Form
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|LOB Information Required: | |
|Legal Entity:* |Type of Spend:* |Special Arrangements: |LOB Contact Name: * |
| | | | |
| | | |Contact Email: |
|If other: please specify: |If other: please specify: | | |
| | | | |
|Supplier Information: | |
|Name of Supplier: * |Supplier Contact Name: * |
|Tel: Fax: |Contact Tel: Contact Email: |
|Supplier Remit to Address: * |
|Street: |
|City: |
|Province/State Country Postal/Zip Code |
|A/R Contact Person: |In which currency will your invoice be presented? |
|Contact Tel: |CDN USD Other: |
|If your Company is located in Canada: |
|GST/HST# |
|QST Registration # (if applicable) |
|Considered a “small supplier”? (Tax Exempt?) Yes No |
|If your company is located in USA: |
|W9 Identification # |
|If you have not already done so, please attach your W9 Form when submitting |
| Other Countries: |
|W8 Registration # |
|If you have not already done so, please attach the appropriate W8 Form when submitting |
|Supplier Banking Information required for Direct Deposit Payment: |
|Financial Institution : * Name of Bank: * |
|US CDN |
|Bank Account Number: * Name of Account Holder: * |
| |
|Bank Transit / routing number: * Email address for direct deposit notification: * |
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|VOID check is preferred or Bank Statement/Letter is acceptable for processing this request |
* Mandatory field
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