Vendor Request Form


I hereby certify and attest that I have purchasing authority for supply purchases for my company/organization and that I am authorized to execute contracts on behalf of all our locations that we have joined with Fairway GPO. I hereby authorize Fairway GPO as our group purchasing organization to attach our facilities to their discounted pricing programs and to authorize/sign any necessary documentation required by the vendors listed below.

Category Vendor Current Vendor Account Number
Inbound & Outbound FreightFedEx

*This number requested is for your current account number specific to each vendor, and is separate from your GPO membership number. If you do not have an account on file with a particular vendor, please write “New” in that field.