Vendor Verification Step 1 of 4 25% Step 1: Company InformationCompany Name CAGE Code Headquarters Company Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Step 2: TeamPrimary Representative Title Phone (United States)Phone (International)FAX (United States)FAX (International)Email Mobile Skype WhatsApp Secondary Representative Title PhoneFAXEmail Mobile Skype WhatsApp Step 3: Vendor & Payment InformationPreferred Payment Terms1% 10 / Net 302% 10 / Net 305% 15 / Net 302% 10 / Net 4530% / Net 3030% / Net 45OtherDUNS (or Company Registered Number) EIN (or VAT number) Preferred Payment MethodACH / EFT payment - this is our preferred methodCheck - vendor does not accept ACH paymentsCredit Card PaymentWire TransferWAWF (Wide Area Work Flow)OtherPIVOT Account Number (if applicable) Flyboys Account Number (if applicable) Type of VendorReseller - OnlineDirect SalesManufacturerSupplierMaintenanceGeneralLicenseeOtherPrimary Sales ChannelOnline RetailPhysical Store RetailDirect SalesGovernment ContractsAffiliate MarketingOtherPIVOT Affiliate Number (if applicable) Type of BusinessIndividual/Sole ProprietorCorporationPartnershipOtherBusiness Owner/CEO Name Country or State Registered SBA Classification (if applicable)Large BusinessSmall BusinessSmall Business - Hub-ZoneSmall Business - Veteran OwnedSmall Business - Disabled Veteran OwnedSmall Business - Service-Disabled Veteran OwnedSmall Business - Woman OwnedSmall Business - African American OwnedSmall Business - Asian OwnedSmall Business - Hispanic OwnedSmall Business - Native American OwnedGSA Number NAICS Code Step 4: Familiarity With PIVOT & FlyboysDo you have a sales team in place?YesNoIs your team familiar with PIVOT?YesNoNo, but interested in being trainedIs your team familiar with Flyboys?YesNoNo, but interested in being trainedIs your team familiar with EFB Mounting Solutions?YesNoNo, but interested in being trainedIs your team familiar with EFB regulatory guidance?YesNoNo, but interested in being trainedIs your team familiar with standard EFB devices?YesNoNo, but interested in being trainedAre you interested in specific training on the PIVOT and Flyboys product lines?Yes, I'd like to hear moreInterested, but not right nowNo, not interestedSales Program DescriptionPlease generally describe your current and intended future goals as a PIVOT/Flyboys reseller or retailer.EmailThis field is for validation purposes and should be left unchanged. 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