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Purchasing Department FEI# 736017987

1701 W. Will Rogers Blvd. Claremore, OK 74017 918.343.7728 FAX 918.343.7817

New Vendor Request and Update Form Instructions to new/existing vendors: Please fill in your company or individual information and fax, with a current W9 form ( http://www.irs.gov/pub/irspdf/fw9.pdf ) to: RSU Budget & Accounting Department FAX: 9183437817 Attn: Amber Coates Date: `Remit to' Name: Contact Name: `Remit to' Address:

Physical Address: Phone Number: Fax Number: FEI/SSN: Purchase orders, invoices, and payments cannot be processed until this New Vendor Request and Update Form and a current W9 form is received. For Office Use Only

Requestor Name: New Vendor Update Existing Vendor Information Vendor Number: W9 Received?

Date Completed:

Rev Feb08

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