VENDOR/SUPPLIER University Department Requesting Form ____________________ REGISTRATION FORM E-Mail/Fax completed form to: Oral Roberts University Fax: 918-495-6985 E-mail form: vendors@oru.edu Phone: 918-495-7531 Company/Individual Name on IRS Record Phone...
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VENDOR/SUPPLIER University Department Requesting Form ____________________ REGISTRATION FORM E-Mail/Fax completed form to: Oral Roberts University Fax: 918-495-6985 E-mail form: vendors@oru.edu Phone: 918-495-7531 Company/Individual Name on IRS Record Phone Fax Voth Music LLC Company DBA name - Payments will be made to this name Phone Fax Contact Name Phone Fax Caleb Voth 918-894-3913 [PR/PO] Primary Business Address/Purchase Order Information Phone Fax (Physical Street, City, State, 9-Digit Zip) E-Mail Address and/or Company Website 4003 E. 82nd Pl. Tulsa, OK 74137 mark@vothmusic.com / vothmusic.com Contact Name Title Manager [RE] Remit To Information (If different from above) Mailing address for checks and 1099 reporting Phone Fax (PO Box or Street, City, State, OK 9-Digit Zip) E-mail Address Contact Name Title Caleb Voth Partner Parent Company Name and address Relationship Disclosure (Check all that apply): [R1] Are you, or any Officer, Director, Owner or Partner in this company, an
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