Messiah College W-9 Form and Instructions

W 9 form part a

1.  Enter the campus contact and the department for which the company will provide goods/services.

2.  Enter the Tax Identification Number. For individuals “doing business as” (dba) this is the Social Security Number. For other entities, it is the Employer Identification Number (EIN). The Tax Identification Number provided must match the IRS records to avoid backup withholding.


W 9 form part b

3.  Select the appropriate business category from the list provided.

4.  Provide the supplier name.

5.  Provide the name shown on the business income tax return if it is different from what was provided for the supplier name. Suppliers “doing business as” must list the owner’s name in this section.


W 9 form part c

6.   Provide the street address with city, state and zip code where purchase orders should be sent. Also, include a contact name, telephone number, fax number and email address.

7.  Choose the company’s preferred method of payment.

8. Provide the street address with city, state and zip code where payments should be sent. Also, include a contact name, telephone number, fax number and email address. If this information is the same as that entered for purchase orders in step five, please enter “Same” on Address Line 1 in the Payments section.

9. Choose the supplier’s payment terms.


W 9 form part d

10. If the company is an existing supplier for Messiah College, please provide the company’s account number for Messiah College and Messiah College’s supplier ID# for the company.

11. Provide applicable contact information for accounts receivable, customer service, and sales representatives.

12. The form must be printed and then signed by an authorized representative of the company.

13. Return the form via email to purchasing@messiah.edu or fax to 717-796-5050.

Questions should be directed to the Purchasing Office at 717-796-6010.