NEW SUPPLIER PROVIDER FORM

Thank you for your interest in becoming a supplier for Aviation Parts Executive, Inc.
Please complete the form below to ensure your company is properly set up in our system.

All submitted information is secure and confidential.

*Required field (if not applicable, write N/A)

Company Information*

Company Name

Name of Parent Company (if subsidiary)

Aviation Parts Requestor

Contact First Name	Contact Last Name
Title
Contact E‑Mail	Contact Phone #

Incorporated*
Yes
No

Business Structure*
Sole Proprietorship
Partnership
Corporation
Other

Please provide resale Tax Cert/VAT number*

MAX FILE SIZE: 2 MB.

EORI #

ISO, AS91XX or ASA‑100 Certified / FAA or EASA Part 21 or 145 Approval Holders*
Yes
No

If yes, please provide cert(s) and/or approvals.

Billing Address*

Street Address

Address Line 2

City	State / Province / Region
ZIP / Postal Code	Country

Shipping Address (if different)

Street Address

Address Line 2

City	State / Province / Region
ZIP / Postal Code	Country

Accounting Contact*

First Name	Last Name
Title
Contact E‑Mail	Contact Phone #

Sales Contact*

First Name	Last Name
Title
Contact E‑Mail	Contact Phone #

Quality Contact*

First Name	Last Name
Title
Contact E‑Mail	Contact Phone #

Bank Details*

Your Bank Name

Bank Address*

Street Address

Address Line 2

City	State / Province / Region
ZIP / Postal Code	Country

Account Type*	Account Number*
Routing Number*	IBAN #
SWIFT Code*

Please upload bank information if available.*

Max. file size: 2 MB.

Credit Terms Offered to Aviation Parts Executive, Inc.*
NET 30

Confirm that Aviation Parts Executive is able to pay via Credit Card*
Yes
No

Consent*

Contact First Name	Last Name
Title*
Date*

[acceptance* tcs] I agree – By submitting this form you acknowledge that you agree to our
Terms & Conditions of Purchase

Any questions or concerns reach out to [email protected]
or call +1‑954‑493‑5088