Vendor Form

Email*

Vendor Name*

Country

Puerto Rico / USA

Colombia

Other countries

Business Type

Individual

Corporation / Company

Address*

Location* (City, State, Country)

Zip Code*

Phone*

identification number*

Service you provide for Contáctica*

Person who has contacted you*

Attach W9 form*

Tax Information

Total Waiver certificate

Partial Waiver Certificate

The company doesn't have a waiver certificate

Attach Tax Waiver

Attach RUT

Certificate of Existence and Legal Representation

Name of the Beneficiary*

Name of Bank*

Address of Bank Branch*

Type of Account

Checking

Savings

Routing Number*

Account Number*

identification number*

Bank Certification

Bank Information Contáctica does not issue payments by check at this time.