New Vendor Application

1New Vendor Request Form

2Vendor ACH Enrollment Form

3Plum Market Start-Up Vendor Fee Terms

Please provide the following information when requesting to add a new vendor.
Please attach the vendor's W‐9 to this form.

Vendor Name(Required)

Physical Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Remittance Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Net Terms(Required)

Tax ID Number (9 Digits)(Required)

Goods/Services Provided:(Required)

Retail Goods

Services

Space

Accounting Contact

Name/Title(Required)

Email(Required)

Phone(Required)

Fax(Required)

Special Notes: Please note that Plum Market will not pay any Fuel Surcharge or Service Fees.

W9(Required)

Max. file size: 2 MB.

*Note: Failure to upload W9 and proof of banking may result in automatic denial of application*

Plum Market is now requiring all vendors to receive payments via Electronic Funds Transfer (EFT). Payments will be electronically deposited into your company’s designated bank account through ACH (Automated Clearing House). ACH payment remittance advice will be delivered by email.

Signing up for Vendor ACH payments provides several benefits for our vendors:

Quicker Payments

ACH payments are a faster method of payment.
Banks do not hold ACH payments like the checks you deposit. Your funds are available as soon as the ACH payment is credited to your account.

Less Hassle

ACH payments eliminate the need for paper checks.
Your ACH payment cannot be lost in the mail or delayed due to a forwarded address.
You will receive notification and remittance advice for each ACH payment via email.
Save time by not traveling to the bank or waiting in line to deposit your check.

If you have any questions about our Vendor ACH payments program, please feel free to contact our Accounts Payable team at accounts.payable@plummarket.com.

This form is used for Automated Clearing House (ACH) payments to provide payment related to your financial institution. (Note this likely will not be the same information for receiving payment via wire transfer, which Plum Market is not offering in this enrollment)

VENDOR INFORMATION (Remit Address)

New Request

Change Request

Vendor Name(Required)

Taxpayer ID (required)(Required)

Address

Street Address City State / Province / Region ZIP / Postal Code

Accounting Contact Name(Required)

Telephone Number(Required)

Fax Number(Required)

Email Address (Print Clearly) * Required to receive remittance(Required)

Voided check/bank letter(Required)

Max. file size: 2 MB.

Space

FINANCIAL INSTITUTION INFORMATION(Required)

Business Account

Personal Account

Bank Name

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Account Name(Required)

ACH Routing Number (9 Digits)(Required)

Account Number(Required)

Account Type(Required)

Checking

Savings

Payment ID (If Applicable)

Please email the completed form along with a VOIDED CHECK or BANK LETTER to accounts.payable@plummarket.com
***A voided check or bank confirmation letter is required to process this form***

The Vendor acknowledges and agrees to pay a one-time start-up fee of $1,000 to Plum Market upon acceptance as a vendor. This fee is non-refundable and is intended to cover:

Administrative and System Setup Costs
Training and Onboarding Support
Implementation of Communication and Operational Tools

The Vendor agrees to remit payment of the start-up fee within 30 days of signing this Agreement or as otherwise instructed by Plum Market. Payment details will be provided upon execution of this Agreement.

This agreement will be effective upon the signature of the Vendor and will remain in effect throughout the Vendor’s engagement with the Company.

The Vendor represents and warrants that:

It has read and understands the terms of this Agreement.
It has the authority to enter into this Agreement and to fulfill its obligations herein.

Vendor Information:

Vendor Acknowledgement(Required)

The Vendor acknowledges and agrees to pay a one-time start-up fee of $1,000 to Plum Market upon acceptance as a vendor. This fee is non-refundable and is intended to cover:

Administrative and System Setup Costs
Training and Onboarding Support
Implementation of Communication and Operational Tools

This agreement will be effective upon the signature of the Vendor and will remain in effect throughout the Vendor’s engagement with the Company.

The Vendor represents and warrants that:

It has read and understands the terms of this Agreement.
It has the authority to enter into this Agreement and to fulfill its obligations herein.

Vendor Information:

Company Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Contact Email(Required)

Contact Phone Number(Required)

Space

Authorized Representative:

Name

Title(Required)

Signature(Required)

Date(Required)

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Accounting Contact

Signing up for Vendor ACH payments provides several benefits for our vendors:

Quicker Payments

Less Hassle

Vendor Information:

Vendor Information:

Authorized Representative:

PLUM MARKET FOOD SERVICE

LICENSING & FRANCHISE OPPORTUNITIES

PLUM MARKET TRAVEL SERVICES

PLUM MARKET VENDOR PORTAL

CAREERS

CONTACT US