Payment Terms Appeal Form

Company Name*

Email*

Phone*

Does your company accept credit card payments?*

If yes, are you willing to accept credit card payments from Wake Forest University?

If you are willing to accept credit card payments, do you charge a fee? What is that fee?

Do you have a contract with the University that states alternate payment terms?*

If you answered "Yes" above, please attach a copy of your contract

Max. file size: 23 MB.

Why are you appealing?*

(600 character limit)

What payment terms are you requesting?*

Please upload a copy of your certification for any selections made above.

Max. file size: 23 MB.

If your company is alumni owned, please provide name while a student.

If you are alumni owned, what year did you graduate from the University?

In which state is your company incorporated?*

How many employees do you have?*

What is your annual anticipated sales to the University?

What relationship, other than supplier, do you or your principals have with the University?

Please provide additional information to assist with our evaluation.

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Finance