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Third Rock Supplier Registration Form
Supplier Information
Your Legal Business Name *
Note this name should match the name used on your consulting agreement, as applicable
Tax Country *
Select Country for Tax ID Type
Federal Tax Classification *
Select Entity Type
Individual/Sole Proprietor
C Corporation
S Corporation
Partnership
Trust/Estate
LLC - taxed as Partnership
LLC - taxed as C Corp
LLC - taxed as S Corp
Foreign
Other
Tax ID Type *
Select Tax ID Type
Tax ID Number *
Supplier Category *
Select Supplier Category
Payment Terms *
Select Payment Terms
Select payment terms as defined in your contract.
Upload W-9 Form (PDF, JPG, or PNG) *
W-9 Form Instructions
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Payment Details
Accepted Payment Types *
Default Payment Type *
Default Currency:
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Accepted Currencies:
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+ Add Another Address
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