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    +44 (0) 1332 771700
    +1 (281) 617-4800

    • Want to be a Supplier?

    Ian Tyson
    Head of Purchasing
    tysonI@o-sys.com

    Please complete this form to be considered as an authorized OSyS vendor

    Product/Service to be provided:*

    SALES OFFICE ADDRESS (for mailing/correspondence related to purchase orders)
    Full Legal Name of Business:*

    DBA:

    Street Address:*

    Street Address:

    City:*

    State:*

    County:

    Zip Code:*

    Phone Number:*

    Alternate Phone Number:

    Fax Number:

    Salesperson Name:*

    Salesperson Email:*

    REMITTANCE ADDRESS (for mailing/correspondence related to payments)
    Name to Appear on Checks:

    Street Address:

    Street Address:

    City:

    State:

    County:

    Zip Code:

    A/R Contact Name:

    Phone Number:

    Alternate Phone Number:

    Fax Number:

    SOCIO-ECONOMIC STATUS (based on primary SIC/MCC Code) - check all that apply
     A - Small Business B - Small Disadvantaged Business C - Women Owned Business D - Large Business E - Education Institution F - Foreign Owned Business G - Government Agency H - Historically Black College I - Minority Educational Institution J - Large Disadvantaged Business K - Non-Profit Organization L - Labor Surplus Area
    TERMS OF PAYMENT
    Net 45 days from receipt of invoice
    REQUEST FOR TAXPAYER ID NUMBER & CERTIFICATION (Substitute W-9). It is MANDATORY to indicate your Social Security Number (SSN) or Federal Tax ID Number (TIN) for your type of organization below:
    Individual/Sole-proprietorship (provide S.S.N.):

    Corporation (provide TIN):

    Vendor is a Partnership (provide TIN):

    Other type of organization:

    (describe)

    **CERTIFICATION:
     Under penalties of perjury, I certify that the number shown on this form is my correct T.I.N. and I am not subject to backup withholding because I am exempt from backup withholding.
    In addition to responding to your query and/or sending to you the information requested by you, Optimized Systems and Solutions(OSyS) would like to use the personal information that you have provided to us to let you know by email, mail or telephone of other goods and/or services that we think may be of interest to you from time to time. If you would like to be kept informed in this way please tick the means of communication that you would like us to use.

     E-mail Mail Telephone

    You may tell us at any time to stop using your information for this additional purpose by following the opt-out route noted in the communications from us.


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