Vendor Verification Step 1 of 4 25% Step 1: Company InformationCompany NameCAGE CodeHeadquartersCompany 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Step 2: TeamPrimary RepresentativeTitlePhone (United States)Phone (International)FAX (United States)FAX (International)Email MobileSkypeWhatsAppSecondary RepresentativeTitlePhoneFAXEmail MobileSkypeWhatsApp 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 NameCountry or State RegisteredSBA 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 NumberNAICS 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.NameThis field is for validation purposes and should be left unchanged. Contact SupportWarranty Information
