New Vendor Information In addition to the vendor information we also require a copy of your W–9. Please email a copy of your company's W–9 to accounting@canopywell.com
New Vendor Form Your Email Address (required)• We will not send unsolicited email nor share your email address with anyone. Ever. General Information(required)• First Name (required)• M.I. Last Name (required)• (required)• Legal Entity Name(required)• Business Name or Individual Name Tax ID Number (T-IN/EIN)(required)• Company Phone Number(required)• Email(required)• Principal Contact Name First Name Last Name Is work performed in the US? Yes No Briefly describe the nature of services performed Request invite to our Bill.com account? Yes No Purchase From / Remit Payment To Address (If different than above) Address Line 2 City State Zip (required)• Which forms of payment will vendor accept?(required)• Visa / MC ACH / EFT Check Other Canopy Account # with Vendor Accounts Receivable Phone Number Please Don't Enter Anything In This Space