Intel Corporation

Accounts Payable, EY1-24

P. O. Box 1000

Hillsboro, OR 97123-1000

U.S.A.

Electronic Funds Transfer (EFT)

For payment of US Dollars to accounts within the United States and Puerto Rico

Intel pays it’s US and Puerto Rico suppliers via Electronic Funds Transfer (EFT) and Intel’s preferred form of remittance is online via Intel’s Payment Tracker. With EFT, payments will be electronically deposited directly into your company’s designated bank account through ACH (Automated Clearing House).

The following options for delivery of remittance advice are available:

ONLINE Payment history and status of invoice payments can be obtained online using Intel’s Payment Tracker web tool. To register for Payment Tracker, go to https://supplier.intel.com/seem/accessRequest.asp?Mode=New

Select "Intel(R) Web Suite (Web Invoice/Web PO/Payment Tracker/ASN)-Suppliers Only”

ELECTRONIC

Remittance advice and payment are sent electronically (CTX) to your company’s bank. You then coordinate with your banking institution on how to receive notification and remittance advice from them. Before selecting, please contact your bank to verify their capabilities.

Additionally, Intel’s Accounts Payable Automated Customer Service is available 24 hours a day at (503) 264-7851, giving you quick access to payment status of individual invoices. To use the system, all you need is your 6-digit Supplier Number.

If you have questions or need assistance completing the EFT Enrollment Form, please contact our Customer Service Center at (503) 696-2732, option "zero" between 5:00 a.m. and 5:00 p.m. Pacific time.


Electronic Funds Transfer (EFT) Form

For payment of US Dollars to accounts within the United States and Puerto Rico

Type of Request (check one): ___ START ___ CHANGE ___ STOP

Company Name: ______

Address: ______

City, State, and Zip: ______

FEIN/SSN Number: ______

Contact Person(s): ______

Telephone Number: ( )______Fax #: ( )______

Intel Supplier Number: ______

Email Address: ______

------

Bank Name: ______

Bank Address: ______

Account Name: ______

Routing #:______

Bank Account #: ______

(Due to system constraints account number is limited to 18 or less digits.)

Account Type–Checking/Savings: ______

Bank Contact Name: ______

Telephone Number: ( ) ______(required)

Bank and Remittance Options (Select One):

  Online (Utilizing Payment Tracker)

  Payment and remittance sent electronically to your bank (CTX)

I certify that the information above is true and correct, and that I, as a representative for the above named company, hereby authorize Intel Accounts Payable to electronically deposit payments to the designated bank account. This authority remains in full force until Intel Accounts Payable receives written notification requesting a change or cancellation.

Authorized Signature: ______Date:______

Title: ______

Phone Number: ( ) ______– ______

Please return completed form to: Vendormaster; EY1-24; Intel Corporation
P.O. Box 1000; Hillsboro, OR 97123-1000; USA

Or fax to (503) 696-3329 Attn: Vendormaster