ACH Vendor Enrollment Form 2022.pdf

Company:

Physical Address:

City: State: Zip:

Contact:

Email Address:

Telephone: Fax:

Large: Small:

Disadvantaged: Woman Owned:

Service Disabled: Veteran Owned:

Yes: No:

Unique Entity ID #:

Cage Code:

TAX Identification # (TIN):

Nine Digit Routing Transit Number:

Depositor Account Title:

Depositor Account Number:

Financial Institution Name:

Yes: No:

Our preference is always FOB Destination (freight included in price)*

*FOB DST helps with accurate and timely payment as well*

Does UNICOR Pay Shipping?

ACH Vendor/Miscellaneous Payment Enrollment Form UNICOR, Federal Prison Industries, Inc.

Company:

(please check one)

Registered And Current In System For Award Management - This is a Federal wide mandatory reuiqrement that is free to enroll (not required for credit card vendors)

Once enrolled you will have to anually update your profile when prompted via email.

https://www.sam.gov https://www.sam.gov/

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