Domestic Vendor Form

Vendor Information

Vendor Name: Vendor Email Address: Country Code: Vendor Phone Number: Vendor Description: Street Address: City: State: Postal Code: Country:

Bank Information

Bank Name: Bank Street Address: Bank City: Bank State: Bank Postal Code: Bank Country:

Account Information

Bank Account Type: Bank Account Holder Name: Routing Type: Bank Account Number: Tax ID or SSN: Reporting State: City: Type of Entity: Type of Corporation:

Upload W-9 (PDF, JPG, PNG):

International Vendor Form

Vendor Information

Vendor Name: Vendor Description: Vendor Email Address: Country Code: Vendor Phone Number: Street Address: City: Region/State/Province: Postal Code: Country:

Bank Information

Bank Name: Bank Street Address: Bank City: Bank Region/State/Province: Bank Postal Code: Bank Country:

Account Information

Bank Account Type: Bank Account Holder Name: Bank Account Number: Transfer Method: ITIN: Type of Entity: Type of Corporation:

Upload W-8BEN (PDF, JPG, PNG):

Elite Collective X Aguita Information Intake Form

Domestic Vendor Form

Vendor Information

Bank Information

Account Information

International Vendor Form

Vendor Information

Bank Information

Account Information