New Customer Form (Vendor Form)

Remote, USA Full-time Posted 2026-05-04
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I need a skilled freelancer to design a professional vendor form similar to the attached sample from. This form will be used by a U.S.-based medical device manufacturer to onboard customers (hospitals, surgery centers, doctor offices, schools, etc.). The form should be tailored to U.S. standards, removing Canadian-specific fields (e.g., GST/HST, BC PST) and incorporating U.S.-relevant details (e.g., EIN, W-9,

Key Requirements:

Include sections for:

Customer information (legal name, DBA, billing address).

Contact details (2 Accounts Receivable contacts, 3 key contacts, optional Head Service Person).

Tax and compliance info (EIN, W-9, FDA registration #).

Purchasing, shipping, and payment details.

Remove Canadian health authority fields (FHA, IHA, etc.) and non-U.S. tax sections.

Format in a clean, editable PDF template (e.g., using LaTeX or a design tool like Adobe Acrobat).

Include a section for required documentation (e.g., W-9, purchase order, signed form).

Deliverables:

A fully functional PDF form template.

Source files (e.g., LaTeX code or design file) for future edits.

Brief instructions on how to use/edit the form.

Skills and Experience:

Proficiency in LaTeX, Adobe Acrobat, or similar tools for form design.

Experience creating business forms or templates.

Attention to detail and understanding of U.S. business/tax requirements.

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