TechAccess Oklahoma Speaker Information - ABLE Tech Accessibility Training

New Vendor/Speaker Information

The University does need other more sensitive information, such as Tax ID or Social Security Numbers. We will contact you directly to get this using the contact information you provide.

New Vendor Request

Please provide the information below so that we can get you set up to receive an honorarium for TechAccess Oklahoma.

Required fields are marked with an asterisk and ARIA required set to true.

Vendor Information

Individual or Company Name *

Mailing or Business Street Address *

City *

State or Province *

ZIP or Postal Code *

ZIP+4 *

Contact Name *

Phone Number

Email address *

Fax

OSU and A&M System Employee and/or Immediate Relative of an Employee? *

Yes

If Yes, then please explain: *

A company's remittance address may be different from their business/mailing address. An individual may have the same address. Please indicate if we need to use a different remittance address, and then provide that address information below if the answer is "No".

Is the address above the address we need to use for remittance? *

Yes, use the address above.

No, please use the address below:

Remittance Address

Remittance City

Remittance State or Province

Remittance ZIP or Postal Code

Remittance ZIP+4