Wis. Interscholastic Speech & Dramatic Arts Assoc.

Vendor/Contractor Registration

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  | Social Security Number: •••••••••

Routing Number: ••••••••• | Account Number: •••••••••••••••• |


Under penalties of perjury, I certify that: 1. I am authorized to complete this form on behalf of the named entity above; and 2. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 3. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 4. I am a U.S. citizen or other U.S. person (defined in the IRS Form W-9 Instructions); and 5. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct

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Signature Certificate
Document name: Vendor/Contractor Registration
lock iconUnique Document ID: b5ca17b572bd49723635fba10ec8f047a0cd9efd
Timestamp Audit
09/12/2021 7:59 am CDTVendor/Contractor Registration Uploaded by Adam Jacobi - office@whsfa.org IP