Vendor Onboarding Form

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Please provide the following information when submitting a request to be setup as a new vendor and attach the vendor’s W-9 form (all information is required).

The information collected on this form will be used by Bizdata to transmit payments electronically to a vendor's financial institution. It is the vendor’s responsibility to notify us promptly of any financial institution changes to avoid any scheduled payment delays. Information provided in this questionnaire will be handled confidentially. Bizdata standard payment terms are 30 days from receipt of invoice.

Bizdata invoices must be sent to billing@bizdata360.com

Vendor Details

Vendor Name (as shown on your income tax return)

DBA Name

Street Address

City

State

Zip

Country

Contact Name

E-mail address

Vendor Remittance Email

Phone

Create Date

2025-05-14

W-9/W-8BEN Upload

Please upload completed W-9/W-8BEN

W-9 Sample File

W9 Form

Taxpayer ID

W-8BEN Sample File

W-8BEN Form

Banking Details

Payment Type

9 digit Routing Number

Bank Name

Bank Account Name (Name shown on bank statement)

Bank Account Number

Bank Address:

Bank Address 1

Bank Address 2

Bank City

Bank State

Bank Postal Code

Bank Country

I agree to authorize Bizdata to make ACH payments for invoices to the account specified above.

Upload support for your bank information. Support can include: void check, first page of bank statement, letter from bank or deposit slip.This support must contain vendor name, account number and ABA routing number.

Please Upload Bank Verification File

Sort Code / Swift Code

IBAN

Bizdata Contact

Organization

Bizdata

Please enter the name and email address of your Bizdata Contact.

Name of the Contact at Bizdata

Bizdata Contact Email

Please enter the letters as found in image