SUPPLIER REQUEST FORM

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Supplier Information
Payment Method
Documents & Acknowledgement
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For any questions or issues completing this form, please send an email to [email protected].

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Form Instructions: To continue to be an approved Custom Truck One Source supplier you must complete all three sections of the form before submitting.Please gather documents below to upload before submission:
– Sample Invoice– Copy of W9– Bank ACH Instructions– Cancelled Check Copy
Business Information

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Company Framework

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Business Structure (select all that apply)

Corporation
Partnership
Limited Liability Company (LLC)
Individual/Sole Proprietorship
Municipal
Non-Profit Corporation
Small-Business Certification
Woman-Owned Business
Minority-Owned Business

Nature of Business

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Manufacturer
Distributor
Service Provider
Other
Primary Supplier Contact Information

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