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 SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe 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 45OtherDUNSEINPreferred 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.CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Contact SupportWarranty Information
