Vendor Payment Request (SAP)

Vendor Payment Request

For Internal Use Only (Please do not share with vendors)
NOTE: Please only submit one request form per invoice; if doing multiple invoices, you'll need to submit multiple requests by selecting "resubmit" which will pre-populate any information that can be carried over if it's the same vendor and event.
Date Submitted

MonthDayYear
Date
Event Name*
Should match corresponding E-MPR
Ref.#
E-MPR#
Requestor Name
Requestor Email
example@example.com
Region*
Month to Incur
Existing VendorNew VendorUnsure - maybe already registered
ACHCheckWireCredit Card
Vendor Name*
Should match W9 exactly
Vendor ID
If unknown, leave blank
Primary Contact Name*

First NameLast Name
Finance Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
1001 - AIDS Healthcare Foundation (AHF)1002 - Pharmacy for Humanity (P4H)
AHF WBS/CC*
P4H WBS/CC*
GL Code*
AHF GL Codes*
30 Days/Standard (Default - Non-rush payment)15 Days/Next Payment Batch (Time Sensitive but not urgent - Payment Due Soon)0 Days/Immediate (Urgent - Rush/Past-Due)
HIDE - Net Terms/Payment Due
Invoice Date*

MonthDayYear
Invoices are paid under default net 30
Due Date

MonthDayYear
Date
Invoice No.*
Invoice Amount*
Enter only numbers
Description of Services/Goods*
Notes/Comments
Link (URLs, large files)
Invoice*

Cancelof
Vendor Packets

Cancelof
Contract

Cancelof
Vendor Payment Terms Exception Form*

Cancelof
Pharmacy for Humanity (P4H) Sponsorship Request Form

Cancelof
Additional Files

i.e. Sponsorship Letter/deck, Supporting Documentation
Cancelof
Should be Empty: