Vendor Information

Hose & Rubber Supply values its supplier base. To insure quality products to our customers we require all vendors to participate in our quality management system. Please fill out our Vendor Application Form. If you have any questions please contact us.

Vendor Application Form

Corporate Contact Information

Business Name (required)

Email Address (required)

Website

Corporate Billing Address

Street Address (required)

Country

Phone Number (required)

Fax Number

Corporate Information

Years Established

Fed Tax ID # (required)

Parent Company (if applicable)

Products & Services (required)

Special Equipment

Country of Origin for Product / Services

Number of Employees

Business Type (required)

CorporationSole ProprietorPartnershipLLC

Management Structure

CEO/President

Manufacturing

Quality Manager

Purchasing

Accounting

Customer Service

Insurance Information

Does insurance coverage meet HRS requirement? General Commercial Liability with Hose and Rubber Supply listed as additionally insured, Min $1,000,000 per occurrence.

YesNo

Please attach certification

Account Information

Payment Method
Credit CardCheckBank Wire

Proposed Payment Term
CODNet30Net15

Attach Wire Transfer Information

Proposed Freight Term
FOB DestinationFOB OriginPrepaidPrepaid & Add

Quality Information

Do you have a certified ISO 9001 QA program?
YesNo

Quality Questionnaire

Do you maintain a controlled QA Manual? (if yes, please submit copy to HRS)
YesNo

Do you maintain written procedures describing the administration of the QA system?
YesNo

Do you maintain written procedures that detail proper completion of test/inspection records? YesNo

Do you maintain written procedures specifying how long records are held?
YesNo

Do you maintain written procedures detailing test/inspection processes for verifying product conformance?
YesNo

Are inspections performed when receiving incoming parts?
YesNo

Do you maintain written procedures specifying material approval/rejection criteria?
YesNo

Do you maintain written corrective action policies?
YesNo

Do you use the latest revision drawings to inspect and test?
YesNo

Do you maintain written procedures for regular calibration of test/inspection equipment?
YesNo

Do you maintain a system for the positive identification of a materials inspection status?
YesNo

Do you maintain written procedures for controlling non-conforming material?
YesNo

Do you utilize statistical process control as part of your QA system?
YesNo

Do you maintain written procedures for sampling inspections?
YesNo

Do you maintain written procedures for handling, storage, age control and delivery of materials?
YesNo