MTY_Vendor Registration - USD.docx

DOCX document 95 KB Posted

Attached to
Marine Cook Services
Solicitation number
19MX5626Q0006
Issued by

About this file

This is a vendor registration form template for the Financial Management Center used to establish or update payment information for contractors conducting business with the Department of State. The form captures essential vendor identification details including company name, DUNS number, primary contact information (name, email address with zip code, and phone/fax numbers), and website. The form is designed specifically for vendors requiring Electronic Funds Transfer (EFT) payments in US dollars to a bank account within the United States. Required banking information includes the bank name, nine-digit routing number (beginning with 0, 1, 2, or 3), account number, and account currency designation. The form provides checkboxes to indicate whether this is a new vendor registration or a modification to existing account information. A signature line and date field are included for vendor authorization, with a corresponding line for Financial Management Center approval. This template does not contain specific details regarding the Marine Cook Services solicitation (19MX5626Q0006) issued by the US Consulate Monterrey; rather, it is a standalone administrative document that vendors would complete as a prerequisite to receiving payment once a contract is awarded.

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Text version

Financial Management Center

April 23, 2024 Payment Registration

Company Information

New Registration of Account Change of Account X

Vendor Name or account holder

DUNS #

Contact Name

Contact Email

Address with zip code

Phone number

FAX

Website

Bank information needed for EFT transfers in USD to a Bank in the United States.

BANK INFORMATION

Bank Name

Bank Routing Number (must be 9 digits beginning with a 0,1,2, or 3)

Account Number

Currency of account

Signature Date

FMC approval _____________________________________ image1.png image2.jpeg image3.wmf oleObject1.bin

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