Supply Management Services

Please complete the Supplier Information form and the IRS Form W-9. Print and sign both forms and submit them by fax to (607) 255-9450, or by mail to the following address:

Cornell University
Office for Supply Management Services
395 Pine Tree Road, Suite 330
Ithaca, NY 14850
Attn: Debi Benson

For additional information on U.S. Small Business Administration (SBA) designation standards, please visit the SBA Web site.

Vendor Information

• Enter all of the following information:

• Legal Name - if this is an individual, enter last name first
• Trade Name - DBA
• Invoice Name - the name you will use to invoice us

Type of Organization

• Select the proper type, and provide the corresponding number(s)

Terms

• Enter the standard payment terms (e.g., 2% 10 Net 30)

Conflict of Interest

• Any situation where a Cornell employee and/or his or her spouse or emancipated and/or minor children has a connection to the above referenced vendor. A conflict of interest is one that a reasonable person would think would compromise the open, competitive process. Enter all relevant information.