Vendor/Contractor Registration Form – Wis. Interscholastic Speech & Dramatic Arts Assoc.

IRS Form W-9 Information

By law, we are required to collect this information.

Name(Required)

Full name as shown on your income tax return

Business name

Or disregarded entity name, if different from above.

IRS Classification(Required)

Individual/sole proprietor/single-member LLC

C Corporation

S Corporation

Partnership

Trust/estate

Limited Liability Company (LLC)

Other (see instructions)

LLC Type(Required)

Note: Check the appropriate item for the tax classification of the single-member owner. Do not check LLC above if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

C Corporation

S Corporation

Partnership

IRS Classification Other(Required)

Exemptions

Codes apply only to certain entities, usually outside the United States, and not individuals; see W-9 instructions. Include exempt payee code and/or exemption from FATCHA reporting code as applicable.

Address(Required)

This should be your current address, and where we will mail checks.

Street Address Address Line 2 City State ZIP Code

Address Change?(Required)

Is this a change of address within the past year?

Yes

Taxpayer Identification Type(Required)

Social Security Number (SSN)

Employer Identification Number (EIN)

Taxpayer Identification Number(Required)

Input SSN as xxx-xx-xxxx Input EIN as xx-xxxxxxx

Contact and Consent

Name(Required)

Person completing this form

First Last

Title/position

Email(Required)

Phone(Required)

Daytime phone

Phone Ext

Daytime phone extension

Mobile Phone

Phone

This field is for validation purposes and should be left unchanged.