VENDOR SETUP FORM (Former Freescale)

TYPE OF BUSINESS / TYPE OF INDUSTRY / TYPE OF OWNERSHIP / COMPANY SIZE
Service / Service / Corporation / Large
Contractor / Tangible Capital / Partnership / Medium
Manufacturer / Tangible Non-capital / Sole Proprietor / Small
Distributor / Estate / Trust
Health Care / Medical
PARENT COMPANY NAME (Required, if available):

NYSE Stock Ticker symbol ( Required, if available ) :______No NYSE Symbol Available ( check here ):

Parent DUNS ( Dunn and Bradstreet #) : ______

Domestic Ultimate DUNS : ______

Global Ultimate DUNS : ______

PO Submission

NXP’s preferred communication method for purchase orders and remit advice will be: Email, Fax or Regular Postal Mail. Email will be used as our primary mechanism and subsequent methods will be used only if email is not available. The requirements for submitting email addresses are as follows:

We strongly advise against using a public domain for email addresses. A public domain is defined as any email service that is not owned by the vendor, or an associated company, (i.e., America On Line, Hotmail, Yahoo, etc.). NXP may be sending information that may be considered confidential/proprietary via the email address you provide to us for the purpose of PO submission, Remittance advice, or correspondence.

  • Email accounts must be able to accept file attachments up to one megabyte.
  • We strongly advise against using Personal email accounts. Email accounts should belong to a department or group, (i.e., Sales Department, Accounts Receivables, etc.)
  • Email accounts must have routine monitoring to ensure the stability and fulfillment of email transmissions.

As always, NXP’s purchase orders, remit advice, and communications are intended for the sole audience of the recipient. In order to guarantee this, NXP will be unable to accept any email addresses that do not comply with the above requirements. If you have any questions please contact your Information Technology department.

Please select one OPTION for RECEIVING PURCHASE ORDERS:

Valid email address as described in the previous guidelines (定单接受方式, 传真或电邮均可, 两者选一)

Email / Email :
Fax / Fax :

REQUIRED SIGNATURE:

Signature of Supplier Representative who is providing this information to NXP is required.

Forms completed by:
填表人 / Name (please print):
姓名：
Signature:
签字：
Company name:
公司名称:

Site Details

PURCHASING SITE DETAILS (This is the address where NXP will send Purchase Orders)

City:
所在城市 / State / Region:
所属省市
Zip / Postal Code:
邮编 / Country:
国家
PO Language:
订单语种 / PO Currency:
订单币种
Contact Name (Sales person):
联系人姓名（销售人员）
Phone #:
电话 / Fax #:
传真
Email:
邮箱

公司详情 （此地址为贵公司接收订单地址信息）

Purchasing Site Name:
公司名称
Physical Street Address:详细公司地址

REMITTANCE SITE DETAILS (This is the address where NXP will send payment information &/or payment)

Remittance Site Name:
公司名称（可接收汇款）
Physical Street Address:
详细公司地址
City:
所在城市 / State / Region:
所属省市
Zip / Postal Code:
邮编 / Country:
国家
PO Language:
订单语种 / Payment Currency:
付款币种
Contact Name (Acc Receivables person):
联系人（财务联系人）
Phone #:
电话 / Fax #:
传真
Email:
邮箱

汇款地址详情 （此地址将为贵公司接收付费地址信息）

Authorization for Electronic Funds TransferAdditionModificationDeletion

You hereby authorize NXP to initiate credit entries to the account listed below in connection with agreed upon Electronic Data Interchange (EDI) transactions between our companies. You agree that such transactions will be governed by the National Automated Clearinghouse Association rules. This authority is to remain in effect until NXP has received written notification of termination in such time and in such manner as to afford NXP a reasonable opportunity to act on it.

IN NO EVENT SHALL NXP BE LIABLE FOR ANY SPECIAL, INCIDENTAL, EXEMPLARY OR CONSEQUENTIAL DAMAGES AS A RESULT OF THE DELAY, OMISSION OR ERROR OF AN ELECTRONIC CREDIT ENTRY, EVEN IF NXP HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

The laws of the state of Texas shall govern this agreement.

SUPPLIER INFORMATION

Supplier name (English):
公司名称（英文/拼音）
Supplier name (local lang.):
公司名称（中文）
Bank name:
银行名称 / Acc. Holder (if applicable):
户名（如可提供）：
Branch name:
支行名称
Bank code:
银行编码（如可提供） / Branch code:
支行编码（如可提供）
Bank address:
银行地址：
Bank city:
银行所在城市 / State/Region:
所属省市： / Postal code:
邮编： / Country:
国家：
Bank Key [Routing / Swift / Sort Code]:
Account Number:
银行账号 / Account Type:
账户类型： / Checking
支票 / Savings
储蓄

*** Please ensure IBAN and SWIFT code fields are complete if your company is banking within Europe.

（若您的银行账户设立在欧洲，请确保提供银行的IBAN和SWIFT CODE）

** Supplier’s Authorization (signatures and company chop are required!)**供应商信息确认（必需签字和公司公章）

Name:
姓名 / Signature:
签字 / Date:
日期

PAYMENT / REMITTANCE OPTIONS

______Option 1Electronic payment with remittance detail via EDIBANX or ACH CTX. (The payment detail will be sent electronically to your bank along with the actual payment. You will have to coordinate with your bank their getting that information to you.)

NOTE: If your company is a member of EDIBANX, by default the payment will be sent via EDIBANX unless noted otherwise.

______Option 2Electronic (ACH CCD+) payment with fax remittance detail. (Each Tuesday, Harris Bank will send you a fax notifying of funds that will be deposited the coming Friday. This option works best with a dedicated fax that is left on 24 hours a day.)

Fax recipient: ______

Fax Number: ______

______Option 3Electronic (ACH CCD+) payment with email remittance detail. (Available for local payment / currency only)

Dedicated EFT Email Address: ______
NOTE: The same email requirements apply as listed in the PO Submission section on the previous page

Business Registration / Tax Information (Please attach copy of document) (请附副本)

Company Name / Name of Individual:

纳税人名称(Legal name as registered注册法定名称)

Business Registration Number:

(For vendors registered in HK or Malaysia or other countries requiring business registration)

Tax Number (税号):

(For vendors registered in China, India, or other countries which has VAT中国增值税)

GST Number:

(For vendors registered in Singapore or other countries which has GST)

Share Capital (For Japan Vendors)

Share Capital Size:

Additional Bank Account Information for Payment

Please fill in this section in order to receive payments from NXP via bank transfer.

Below information needed for China only:

公司中文地址 (将会印在订单上) :
银行资料
开户银行中文名称:
银行分行中文名称:
银行中文地址:
开户名称:
帐户号码:

注：完成此表格后，请附上贵公司营业执照和税务登记证的复印件一并上传。

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