New Supplier Form

SUPPLIER INFORMATION

* Supplier Name

Enter supplier name as it appears on the invoice/quote
Use only CAPITAL LETTERS and do not include punctuation

* Supplier Address

Enter supplier address in all CAPITAL LETTERS

Is this a new address for an existing supplier? Yes No

Is this supplier a Student? Yes No

Ithaca College required address format. See sample addresses here.

On Campus Address Format:
Ithaca College
Department -OR- Resident Hall & Room#
953 Danby Road
Ithaca, NY 14850-7002

Circle Apartment Format:
Ithaca College
Circle Apt (room #)
1033 Danby Road
Ithaca, NY 14850

Supplier Email Address

Supplier Phone Number

Required if this is for a Requisiton/Purchase Order

Supplier Fax Number

Required if this is for a Requisiton/Purchase Order

Social Security
or Tax ID# (TIN)

Required only if paying suppliers for professional services.
Per the IRS, suppliers must complete a W9 form and send to AP prior to receiving payment.

Is this payment for professional services? Yes No

REQUESTOR INFORMATION

* Requester Name

* Department

* Phone Number

* Email Address

Additional
Information

All submitted suppliers are entered within 24 hours.
Please contact Accounts Payable if this entry is not in Parnassus after 24 hours.

	Supplier Request Form
Please note: Any merchandise (apparel, bags, writing utensils, mugs, etc.) being ordered that bears any of Ithaca College's trademarked terms must go through the college's licensing program and be produced by a vendor that is approved by Strategic Marketing Affiliates (SMA), known as an official licensee. For more information about Ithaca College's licensing program, please visit the college's licensing website. If you find supplier contact errors, please contact Accounts Payable at 607.274.3387 Enter the following information to add or update Parnassus suppliers * Indicates required field