[Vendor Form] Indian Motorcycle

Date Completed
- Month - Day Year
Company Name
Address Line 1
Address Line 2
City
State
Zip
Country
Contact Name
Email Address
Phone Number
- Area Code Phone Number
FOB Location
U.S. Representative

Yes No
General Information
Annual Sales Revenue
DUNS#
How many years have you been in business?
Ownership

Public Private
U.S. Automotive Supplier?

Yes No
Product Type Offered
Commodity Offered
Second Commodity
Union Affiliation?

Yes No
Union Contract Renewal Date
- Month - Day Year
Payment Terms (equal to or greater than 60 days)

Yes No
List Current OEM Customers
Comments
Should be Empty: