SUPPLIER REGISTRATION REQUEST

This box is reserved for the NATO SPS Co-Director

Project Code:
PRF Number:

(*) = Mandatory field. Data must be entered for request by the supplier.

A) General Information
1. Legal Business Name (all letters capitalized, including legal form abbreviation) (*):
     
2. Alternative supplier name (Doing Business As):      
3. DUNS Number:       4. Customer Number:      
5. VAT Number:      
6. Address Line 1(*):      
7. Address Line 2:      
8. Address Line 3:      
9. State:       10. Province:      
11. City (*):       12. Zip/Postal Code (*):       13. Country (*):     
14. Tel Number:       15.Fax Number:       16.E-mail:      
15. Supplier Site Country Code (*):Choose an item.
16. Supplier Type: Choose an item.

B) BANK DETAILS:
1. Name of the Account(*):     
2. IBAN/Account Number(*):     
3. Currency:      
4.BIC/SWIFT Code(*):      
5.ABA CODE1(*):      
6.Bank Name(*):      
7.Address of the Bank(*):
Street & Number:       Town/City:      
Postcode:       Country: Choose an item.
Remark:

1
Only applicable for US, does not apply for other country.
D) Supplier Contact Information

Primary Point of Contact(*):

1. First Name :      2. Last Name (*):      3. Position:     
4. Phone:       5. Fax:      6. E-mail:     

Alternate Point of Contact:

1. First Name :      2. Last Name (*):      3. Position:     
4. Phone:       5. Fax:      6. E-mail: