Update A Registered Business's Name or Address

Change Business Name To: 

A signed IRS form W-9 must be submitted along with any vendor name change. Fax to 3003.871.2250.

Change "Order From" (Purchase Order) address:

Street Address 1: 

Street Address 2: 

City:           State:        Zip: 

Phone:    & Fax:  (We fax most orders)

Contact Name for Orders:    

Contact Phone for Orders:     (If different from above)

Contact Email Address:        

Change "Remit To" (A/P) address:

Check here if same as "Order From" address.

Street Address 1:   

Street Address 2:    

City:        State:      Zip: 

Payment Terms:

Will you accept Unversity Corporate Purchasing Cards? YES NO

Payments (A/R) Contact:   Phone:

Your Name:               (*)

Your Title:                  (*)

Your Email Address:  (*)

Your DU Contact's Name:  (*) = Req'd

DU Contact's Email Address:

Comments:

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