REQUEST TO ADD/REMOVE/CHANGE SUPPLIER INFORMATION
MEC
MLS
FLYER
Supplier Name:
Phone Number:
Email Address:
Remit to Address:
City:
State:
ALL
Vendor ID:
Address:
(If different than remit to Address)
City:
State:
Zip Code:
Zip Code:
Contact Information
Sales
Name:
Title:
Phone:
Email:
Accounting
Name:
Title:
Phone:
Email:
Tax ID # (EIN)
1099 filing. Yes
Terms:
Account #
or No
Follow-up
Name:
Title:
Phone:
Email:
Scorecard & Alert Contact
Name:
Title:
Phone:
Email:
Fax #:
Quality
Name:
Title:
Phone:
Email:
List the Nature of the Supplies or Services
Below:
Request complete W-9 or W-8 on new Suppliers.
 W-9 Form (Request for Taxpayer ID and Certification) is for
domestic Individual/Sole Proprietor, Corporation, and Partnership
 W-8 Form (Certificate of Foreign Status) is for foreign
individual/Sole Proprietor, Corporation, partnership
Attach completed MEC Form: F-043 “Supplier Export Compliance and
DDTC Registration Certification”.
(Check one)
Please attach any 3rd Party accreditations
AS 9100
ISO 9001
NADCAP
Ensure Supplier is free of Government / Industry Data Exchange
Program (GIDEP) Alerts and participates in GIDEP Alert notifications.
Survey to be performed on Supplier?
ON-SITE
DESKTOP
Business Category, check all that apply
SB – Small Business
SDB – Small Disadvantaged Business
WOSB – Women-Owned Small Business
VOSB – Veteran-Owned Small Business
HUBZone – Historically Underutilized Business Zone
SDVOSB – Service Disabled Veteran-Owned Small Business
W-9
W-8
3rd Party Accreditation.
Method of Categorization
Self Certification –
(please fill-out attached Self-Certification
MEC Form #F-604)
SBA-Certification
(please send copy of the Certificate)
Supplier to submit completed forms and copies of certifications to: Export@marvineng.com
To be filled out by MEC Purchasing Department
ADD TO ASL
REMOVE / DISAPPROVE
CHANGE TO ASL
Supplier Commodity Classification:
Justification (required field):
Survey Type:
Inspection Required:
yes
no
Expiration Date:
Requested by:
Date:
Supplier Quality Engineer Approval:
Date:
QA Management Approval:
Date:
FORM #F-802 REV E
Page 1 of 1
ISSUE DATE: 08-19-14