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NATIONAL DISPATCH USA
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National Dispatch Services Vendor Registration
Please complete the form below to register as a vendor
COMPANY NAME
Your Name
MAIN COMPANY PHONE (10-DIGITS)
EMERG/AFTER-HOURS PHONE (10-DIGITS)
Your Company's Service Email
STREET ADDRESS
SUITE
CITY
State
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Insurance & W9 Forms
Upload File
Upload supported file (Max 15MB)
Upload Valid COI File Here
Upload supported file (Max 15MB)
Or certify that your company is has a Worker's Comp waiver.
Or certify that your company is duly insured and that you wil submit valid proof of insurance before providing service the National Dispatch USA.
W9 Form
Click here for the IRS W9 form (fillable)
Upload W9 Here
Upload supported file (Max 15MB)
Or certify that you will submit your W9 at a later date.
Submit
Thanks for submitting!
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