INTERNATIONAL University Department Requesting Form ____________________
VENDOR/SUPPLIER
Oral Roberts University
REGISTRATION FORM
E-mail form: vendors@oru.edu
E-Mail/Fax completed form to:
Fax: 918-495-6985
Phone: 918-495-7531/7549
Company/Individual Name Phone Fax
Company DBA name - Payments will be made to this name Phone Fax
Contact Name Phone Fax
[PR/PO] Primary Business Address/Purchase Order Information
Phone Fax
(Physical Street, City, Country, Postal Code) E-Mail Address and/or Company Website
Contact Name Title
[RE] Remit To Information (If different from above Mailing address) for checks and Tax reporting Phone Fax
(PO Box or Street, City, Country, Postal Code) E-mail Address
Contact Name Title
Parent Company Name and address
Relationship Disclosure (Check all that apply):
[R1] Are you, or any Officer, Director, Owner or Partner in this company, an employee of Oral Roberts University? Yes No
[R2] Is a direct family member of any of the above an employee of Oral Roberts University? Yes No
[R3] Are you an Alumni of Oral Roberts University? Yes No
Submission of this form is not a contract between Oral Roberts University and any party.
Signature of Person: Date:
Printed Name:
Title:
Sign Here