ACH Vendor Enrollment Form 2022.pdf

PDF 107 KB Posted

Attached to
Boxer Fabric Khaki
Solicitation number
CT2361-24
Issued by

About this file

This document is an ACH Vendor Enrollment Form for UNICOR, Federal Prison Industries, Inc. It collects company and financial institution information to facilitate electronic payments, including company details such as name, address, contact information, and tax identification numbers. The form also indicates the company's size (small or large business), disadvantaged or woman-owned status, and whether it is registered in the System for Award Management (SAM). The form includes options for UNICOR to pay for shipping and confirms the preference for FOB Destination pricing terms. This enrollment form is required for vendors to receive payments from UNICOR, which is the federal agency operating under the Department of Justice Bureau of Prisons.

The related federal contract opportunity is for the procurement of Boxer Fabric Khaki, with a solicitation number of CT2361-24. It specifies the required fabric composition, weave, width, weight, and delivery requirements. The opportunity is being issued by the Department of Justice Bureau of Prisons Correctional Facilities.

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Text version

Company:

Physical Address:

City: State: Zip:

Contact:

Email Address:

Telephone: Fax:

Large: Small:

Disadvantaged: Woman Owned:

Service Disabled: Veteran Owned:

Yes: No:

DUN & Bradstreet #:

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/

Sheet1

Company:
Physical Address:
City:
State:
Zip:
Contact:
Email Address:
Telephone:
Fax:
DUN Bradstreet:
TAX Identification TIN:
Nine Digit Routing Transit Number:
Depositor Account Title:
Depositor Account Number:
Financial Institution Name:
Company-Small: Off
Company-Large: Off
Company-Disadvantaged: Off
Company-Womanowned: Off
SysAward-Yes: Off
SysAward-No: Off
Company-Disabled: Off
Company-Veteranowned: Off
UnicorPayShip-Yes: Off
UnicorPayShip-No: Off

File details come from the government source that posted it. Updated .