New Vendor Form

Vendor Information

Please complete this form in its entirety and an Entourage Account Manager will follow up with you.

Please also complete a W9 form and submit to finance@etdrives.com

Company Name

Name of individual responsible for bookings

First name

Last name

Primary Contact Email

Primary Contact Phone

Name of individual responsible for bookings

Billing Contact

Billing Email

Billing Phone

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tax ID/ SSN

Billing Method

Credit Card ACH

ACH Bank Routing Number

ACH Bank Account Number

Please list all vehicles in your fleet and their associated hourly rate.