SAP E-Sourcing

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Creating: New Supplier Registration : Untitled

Do not fill in:

Alternative Name:

SECTION I - BUSINESS INFORMATION

*Company Name:

Fields marked with * must be completed to be accepted by the system.

Visual name given to document

Abbreviated Name:

Company DBA:

Previous DBA:

Description:

0 of 256 characters

Description of document

Company Web Site:

Ticker Symbol:

*Default Excel Format:

Default Excel Format

CORPORATE ADDRESS INFO:

____________________________________________________________________________________________________

*Address 1:

Address 2:

Address 3:

*City:

*Postal/Zip Code:

County:

*Country:

*Main Phone:

Main Fax:

ORDERING ADDRESS INFO:

____________________________________________________________________________________________________

*Address 1:

Order From Address 1

Address 2:

Order From Address 2

Address 3:

Order From Address 3

*City:

Order From City

*Postal/Zip Code:

Order From Postal Code

*Country:

Order From Country

*Main Phone:

Order From Telephone 1

Main Fax:

Order From Fax

REMIT TO ADDRESS INFO:

____________________________________________________________________________________________________

Copy Order From Address

*Address 1:

Remit To Address 1

Address 2:

Remit To Address 2

Address 3:

Remit To Address 3

*City:

Remit To City

*Postal/Zip Code:

Remit To Postal Code

*Country:

Remit To Country

*Main Phone:

Remit To Telephone 1

Main Fax:

Remit To Fax

PRIMARY CONTACT:

____________________________________________________________________________________________________

*First Name:

*Last Name:

*Title:

*E-Mail:

*Phone:

Mobile Number:

Fax Number:

PAYMENT INFORMATION:

____________________________________________________________________________________________________

*Forms of Payment:

ACH

Wire Transfers

Default Payment Term:

Payment Notification Email:

Payment Notification Fax:

BUSINESS ESTABLISHED:

____________________________________________________________________________________________________

Date Established:

Number of Employees:

Floor Space (square footage):

*Tax ID:

Tax-Exempt

Tax Jurisdiction:

DUNS ID:

Primary NAICS Code(s):

Refer to http://www.census.gov/eos/www/naics/

Default Incoterm:

BUSINESS TYPE:

____________________________________________________________________________________________________

Broker

Manufacturer

Service

Distributor

Manufacturer's Representative

Other

SALES VOLUME (in $1000s):

____________________________________________________________________________________________________

Last Year:

2 Years Ago:

3 Years Ago:

REGIONAL SETTINGS:

____________________________________________________________________________________________________

*Default Time Zone:

Default Language:

*Default Date Format:

*Default Decimal Format:

*Currency:

SECTION II - DESCRIPTION OF PRODUCT OR SERVICES

REQUIRED. Click [Add Category] and pick the category(s) applicable to your company.

Add External Category

Reorder items in the list

Reorder List

Please select items first and then delete selected items

Are you sure you want to delete this?

Delete Selected

Select row Select/Deselect All On Page	Delete	Material Group

SECTION III - GEOGRAPHIC SERVICE AREA

Click [Add Geographies] and pick the region(s) in which your company does business.

Add Geographies

Reorder items in the list

Reorder List

Please select items first and then delete selected items

Are you sure you want to delete this?

Delete Selected

Select row Select/Deselect All On Page	Delete	Geography

*I certify that I am a Resident Contractor in the state of:

SECTION IV - SUPPLIER DIVERSITY BUSINESS CLASSIFICATION

Click [Add Diversity Classification] and pick the classification(s) applicable to your company. Note: you must also select a Primary Classification.

Add Diversity Classification

Reorder items in the list

Reorder List

Please select items first and then delete selected items

Are you sure you want to delete this?

Delete Selected

Select row Select/Deselect All On Page	Delete	Diversity Classification	Primary Classification	Certifying Agency	Certification Number	Expiration Date

I certify that the information provided is true and correct, and I am a Certified Diverse Business Supplier. I hereby agree to provide proof of certification.

SECTION V - E-BUSINESS READINESS

Do you have an online catalog?

Can you sell products/services from your website?

Are you capable of receiving orders electronically in the following formats?

EDI

Electronic Commerce capable

ISO 9000

ISO 14000

Have you performed e-procurement functions with other businesses?

What electronic marketplaces are you a member of?:

CenterPoint Energy, Inc. will keep completed Supplier Registration Forms for each Supplier for a calendar year (January through December). Suppliers who complete this form will be given consideration for business as needed during the calendar year. There is no guarantee of business awards.

County:

District:

Order From District

ERP Region:

Order From ERP Region

PO Box:

Postal Code:

County:

District:

Remit To District

ERP Region:

Remit To ERP Region

PO Box:

Postal Code:

SECTION VI - SAFETY

Is your company a member of ISNetWorld?:

If “yes”, what is your ISNetWorld ID #?:

If “no”, is your company willing to join ISNetWorld?: