Company Name: ________________________________________________________________________
Remittance Address (This is the name and address that will appear on purchase orders and checks)
Division (if applicable):
Street / PO Box:
City, State, Zip+4:
Contact Person/Title:
Contact Email Address:
Telephone: ( )___________________ FAX: ( )________________________
E-Mail: ___________________________________
Correspondence Address (If different than Remittance Address above)
Division (if applicable):
Street / PO Box:
City, State, Zip+4:
Contact Person
Contact’s Title:
Telephone: ( )_____________________ FAX: ( )_______________________
E-Mail: __________________________________
City of Hendersonville
Accounts Payable Department
160 6th Avenue East
Hendersonville, NC 28792
Web Site: https//:www.hendersonvillenc.gov
Voice: (828) 697-3080
Email: accountspayable@hvlnc.gov
Vendor Registration Form
for City of Hendersonville use only
Date: Vendor Number:
(to send purchase orders)
Would you like to sign up for Vendor ACH payments?
*If you checked yes we will notify you soon regarding how to set this up.
Or you may complete the ACH Enrollment paperwork online at https://www.hendersonvillenc.gov/vendor
Please mail or email this form to: accountspayable@hvlnc.gov
