Fillable ORU Intl Supplier Registration Form Updated

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ORU Intl Supplier Registration Form Updated

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INTERNATIONAL University Department Requesting Form ____________________
VENDOR/SUPPLIER E-Mail/Fax completed form to:
Oral Roberts University
REGISTRATION FORM
Fax: 918-495-6433 E-mail form: vendors@oru.edu
Phone: 918-495-7549/6688
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
Phone Fax
NOTE: International Payments are only paid via wires.
Bank Institution Name E-mail Address
S.W.I.F.T. Code Title
IBAN Number
Bank Account Number Bank Account Name
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:
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ORU Intl Supplier Registration Form Updated

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Completed 28 February 2020

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