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BECOME AN ITA VENDOR

Please, complete the form below to register as a vendor for International Torah Academy. All information will be kept confidential and used solely for administrative purposes.

Note: Social Security Number (SSN) or Tax ID will be required only upon application approval for payment processing.

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Instructions:


Please, complete the form below to register as a vendor for International Torah Academy.  All information will be kept confidential and used solely for administrative purposes. Note: Social Security Number (SSN) or Tax ID will be required only upon application approval for payment processing.

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Mailing Address:
Type of Business Entity:
Individual
Sole Proprietorship
LLC
Corporation
Other
Target Audience:
Service Locations:
Do You Currently Work With ITA Families?
Yes
No

Provide names for verification.

PAYMENT INFORMATION. Preferred Payment Method:
Payment Schedule Preference:
Weekly
Bi-Weekly
Monthly
Date:
Month
Day
Year
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