Supplier Network
Eaton
Supplier
Network



Please complete and submit the form to be considered for the Versatex Supplier Network.
Click here to retrieve previously entered data:
Request Previously Entered Data
Registration Email*

Click here to retrieve previously entered data:  Request Previously Entered Data

Company Legal Name*

Main Services/Goods Description*

Additional Services/Goods  (Please select up to 5 additional services/goods)

Website Address (https://www.yourcompany.com)

Supplier Headquarters Address (Address Line 1 is Required) *
City*
 State*
 Zip Code*

Supplier Regional Office Address      (Address Line 1 is Required) *
City*
 State*
 Zip Code*

Supplier Factory Address      (Address Line 1 is Required) *
City*
 State*
 Zip Code*

Invoicing Contact * (Please provide the contact info of the person or group responsible for invoicing Versatex for purchases)
First Name*
Last Name*
Title *
Phone*  (###-###-####) (Exchange cannot be 555)
Email*
Address *
City*
 State*
 Zip Code*

Select up to 2 additional contacts
Contact 2:
Contact Type*
N/A Sales Accounting Operations Other
First Name*
Last Name*
Title*
Phone*  (###-###-####) (Exchange cannot be 555)
Email*
Address*
City*
 State*
 Zip Code*

Contact 3
Contact Type*
N/A Sales Accounting Operations Other
First Name*
Last Name*
Title*
Phone* (###-###-####) (Exchange cannot be 555)
Email*
Address*
City*
 State*
 Zip Code*

Purchase Order Email Address * (Versatex will send purchase orders to this email address)

Authorized Signator

Signator Name * (Authorized representitive to sign forms)

Signator Title *
Signator Email *


To complete later, click "Save as Draft".
 
Otherwise, Click "Submit for Signatures" to submit to Versatex for signatures and review.
 


Vendor

Client Documents

States

Services/Goods

Invoice Terms and Conditions

Terms of Service

Code of Conduct

ACH Form

ACH Validation

W-9 Form

W-9 Validation

Required Documents

Alert Message

Test Data


scarson@versatexmsp.com