Company Vendor Agreement

Appendix A – Supplier Manual Acknowledgment Section

Please fill out the following form indicating that you have received, reviewed, and accepted in principle the Supplier Manual content. All communications with respect to the contents of this manual are to be addressed initially in writing to your designated Purchasing and/or Quality Contact. If you have any comments or concerns, please note them below.

Comments

Supplier Guidelines Acknowledgement*

I acknowledge that I have read and reviewed the Supplier Guidelines.

Supplier Name*

Address

Street Address Address Line 2 City State ZIP / Postal Code

Phone

Email*

Authorized Signature*

Name & Title*

Date Signed*

Appendix B – Supplier Contacts

Plant Manager Name

Plant Manager Phone

Plant Manager Email Address

Quality Manager Name

Quality Manager Phone

Quality Manager Email Address

Sales Manager Name

Sales Manager Phone

Sales Manager Email Address

Materials Manager Name

Materials Manager Phone

Materials Manager Email Address

Purchasing Manager Name

Purchasing Manager Phone

Purchasing Manager Email Address

Engineering Manager Name

Engineering Manager Phone

Engineering Manager Email Address

Warehouse Manager Name

Warehouse Manager Phone

Warehouse Manager Email Address

2nd Shift Contact Name

2nd Shift Contact Phone

2nd Shift Contact Email Address

3rd Shift Contact Name

3rd Shift Contact Phone

3rd Shift Contact Email Address

Conflict Minerals Contact Name

Conflict Materials Contact Phone

Conflict Minerals Contact Email Address

Customer Service Name

Customer Service Contact Phone

Customer Service Contact Email Address

Accounts Receivable Name

Accounts Receivable Contact Phone

Accounts Receivable Contact Email Address

Comments

This field is for validation purposes and should be left unchanged.