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Supplier Profile Information

Please complete the following form and press submit. Make certain to pay close attention in selecting a 'Primary Product or Service' because this determines which person within NCR will receive your information for review. Please note that your submission of this profile information is for initial consideration purposes and does not guarantee any future business relationship with NCR. Your profile information is for NCR use only and may be retained for reference as future business opportunities arise. Thank you for your interest in NCR.

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Quicklook ID

Note: Please enter the Quicklook ID provided by the NCR Associate working with you to add you as a supplier so that your submission may be directed to their attention. If you do not have a Quicklook ID or are not currently engaged with any specific NCR Associate, then use the Quicklook ID ‘AG210032’

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Primary Products or Services *

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Supplier Purchasing Site Information
Supplier Name* Supplier Contact* Supplier Contact Title* Supplier Contact Email* Address 1* Address 2 Country* State Province County City* Postal / Zip Code* Telephone* Fax Number Website

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Please enter a valid email address.

Please enter a valid url in http://website.com format.

Please enter a valid phone number.
Supplier Name* Contact* Contact Title* Contact Email* Address 1* Address 2 Country* State Province County City* Postal / Zip Code* Telephone* Fax Number

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Please enter a valid email address.

Please enter a valid phone number.
Accounts Payable Information
Tax Registration No Provide the VAT Registration Number assigned to the supplier, where applicable. Taxpayer ID Dependent upon Local Tax Authority requirements. Examples: Tax Identification Number, Business Tax ID, EIN, SSN, etc.

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VAT number for Argentina is of 11 digits. Please enter correct value!

Last two digit of VAT number for chile should be in -X. Please correct the format.

Tax Taxpayer ID for India should 10 digits. Please correct the format.
General Information
Business Registration No* Chief Operating Officer(COO)* COO Telephone* Year Started* Number of Employees* Annual Sales* Parent Company Name* Country of Registration*

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Please enter a numeric value.

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Please enter a valid phone number.
Bank Information
Bank Name* Bank Street Address* Bank City* Bank Zip* Bank State - Province* Bank Branch Number* Bank Account Name* Bank Currency* Account Number* Bank Country* Swift Code IFSC Code W9 Form / W8 Form IBAN Number
IBAN Number : http://www.xe.com/idt/

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Please enter valid Swift Code.
Do Not Fill This Out

Wufoo

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