Supplier Setup Form

SUPPLIER SETUP FORM

Company Name:    Supplier Legal Name:

RECITALS

WHEREAS, Company seeks to procure goods and/or services from Supplier in connection with Company operations and Supplier represents that it is qualified, authorized, and able to provide such goods and/or services on the terms set forth herein;

WHEREAS, Supplier desires to be established in Company’s vendor management system and to be paid for goods and services provided under purchase orders, statements of work, or other authorizing documents executed by the parties;

NOW, THEREFORE, to facilitate the onboarding, ordering, and payment processes, the parties provide the following supplier information and agree to the terms set forth in this Supplier Setup Form and any attached purchase documents.

SUPPLIER INFORMATION

Corporation    LLC    Partnership    Sole Proprietor    Other:

CONTACT INFORMATION

Phone:    Email:

BANKING & PAYMENT DETAILS

Account Type: Checking    Savings    Other:

SCOPE OF WORK

PAYMENT TERMS

Standard Payment Amount (if fixed):

Invoices Submitted To:

TERM AND TERMINATION

Term Commencement Date:    Term Expiration Date:

Either party may terminate for material breach if the breaching party fails to cure within the stated notice period. Termination does not relieve Supplier of obligations incurred prior to termination, including delivery, warranty, and indemnity obligations.

CONFIDENTIALITY

Supplier and Company shall each treat as confidential all non-public information disclosed by the other party that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure ("Confidential Information"). Confidential Information shall not include information that is (i) publicly known through no fault of the receiving party; (ii) independently developed by the receiving party without use of disclosing party's Confidential Information; or (iii) required to be disclosed by law, provided that the receiving party provides prompt written notice and, to the extent permitted, cooperates in seeking confidential treatment.

GOVERNING LAW

This Supplier Setup Form and any disputes arising from or related to the supplier relationship shall be governed by and construed in accordance with the laws of the state specified by Company below, without regard to conflict of law principles. The parties consent to the exclusive jurisdiction of the state and federal courts located in that state for resolution of disputes.

ENTIRE AGREEMENT

This Supplier Setup Form, together with any mutually executed purchase orders, statements of work, and attachments, constitutes the entire agreement between the parties regarding onboarding and payment mechanics, superseding prior communications and representations. Any modifications must be made in writing and signed by authorized representatives of both parties.

CERTIFICATIONS AND AUTHORIZATIONS

By signing below, Supplier certifies that the information provided in this form is true, complete, and accurate; Supplier is duly authorized to enter into agreements and receive payments as indicated; Supplier will notify Company promptly of any changes; and Supplier will comply with Company's relevant policies when performing work. Supplier agrees to indemnify Company from liabilities arising from Supplier's negligence, willful misconduct, or breach of these terms.

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