Vendor Form | PBI Commercial

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Vendor Form

Company Name

Company Contact

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office Phone

Mobile Phone

Fax

Is Your Business Incorporated?

Yes

No

Is Your Business OSHA Certified?

Yes

No

List Any Minority Certifications (MBE, DBE, WBE, SBR, Veteran)

Federal ID Number

Website

Project 1

Project 2

Project 3

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No payment can be made without completion of this form and a valid COI and W-9.
Please submit all invoices, COI, and W-9 forms by U.S. mail, fax, or email to ap@pbi1988.com.
Payment terms are 30 days from PBI’s receipt of invoice.