Flutter New Supplier Set-up Form
Sections 1 and 2 to be completed in type and ink signed/e-signed (e.g., DocuSign) by the proposed Supplier and
submitted on their company headed paper (Sample invoice accepted in place where headed paper cannot be
provided).
Section 1: Proposed Supplier Company Details - All fields are mandatory
Information Required: Answer:
Company Registered Name:
Company Registered Address: Line 1
Line 2
City/County
State
Postcode / ZIP
Country
Company Registered Number:
Country of Registration:
SSN / EIN / TIN Number:
VAT / GST Number: (if applicable)
Invoice / Payment Currency:
Trading Name/DBA Name: (if different to above)
Business Address (if different to above – incl. post code):
Contact Phone Number: (including all pre-fixes)
Contact Name(s) (for Purchase Orders):
Contact E-mail Address (for Purchase Orders):
Contact E-mail Address (for payment Remittance
Advices):
DUNs Number (if registered with D&B):
At any point during the performance of this contract, will any employee or agent of Supplier be physically
located within the US while performing services for FanDuel Group or its subsidiaries? Y __ N __
Note: A Form W-8 / Form W-9 must be accompanied with this form as appropriate
(SEE ATTACHED INSTRUCTIONS) (FanDuel Group Suppliers only)
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Section 2: Proposed Supplier Bank Account Details - All fields are mandatory
Information Required Answer
Payment Name & Address:(if different to above - incl.
post code)
Payment Method (Electronic / Wire / Check) (FDG only)
(PPB Suppliers EMTS by default)
Bank Sort Code / Routing Number - must supply all
digits (e.g. 6 for IE/UK Sort Code; 9 for US Routing No.)
Bank Account Number - must supply all digits (e.g.
e.g. 8 for IE/UK; 10 to 12 digits for US)
Bank Account Name (Holder of the bank account)
IBAN Number (compulsory for European payments)
BIC Code (compulsory for European payments)
Bank Name
Trading Currency (Currency of Bank account)
Bank Address (where payment bank account is set up)
Authorised Signatory of Proposed Supplier (only ink signatures or e-signatures (e.g. DocuSign) accepted):
Print Name: _________________________________ Position: ________________________
Sign Name: _________________________________ Date: ______________________
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Section 3: Transaction Details & Oracle iProcurement
This Section is for internal use only. - All fields are mandatory
Information Required Answer
Supplier Type: (Please tick one of the following: (FDG) Track
Affiliate
Legal
Capital
Consultants
Rent Rates
Tax Authority
Sole Trader
Trust
Utilities
Vendor
Please Note: Our Standard Payment Terms are 30 days.
Please Note: A Deal Sheet is required for all New Supplier Set Ups.
Signatures
In making this application, I confirm the above details are accurate and true.
Requester
Print Name: _________________________________ Date: ________________________
Sign Name: _________________________________ Date: ________________________
Approver (Requester’s Manager)
Print Name: _________________________________
Sign Name: _________________________________ Date: ________________________
FanDuel Group Supplier W-8/W-9 Instructions
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NOTE: Section 6010 of the Internal Revenue Code defines a “United States Person” as any United States citizen or alien
admitted for permanent residence in the United States, and any corporation, partnership, or other organization organized
under the laws of the United States.
General Notes
1. The Form W-8 or Form W-9 (as applicable) should be completed by the individual or legal entity that will be directly
receiving payments from FanDuel Group or its subsidiaries. If the legal entity that will be receiving payments from
FanDuel Group or its subsidiaries is a disregarded entity for US tax purposes, then please pay particular attention to the
Form W-9 and Form W-8 instructions related to disregarded entities as disregarded entities must complete the Form W-8
and Form W-9 differently than an entity that is regarded for US tax purposes.
2. If you are required to complete a Form W-8, please note that there are multiple versions this form (i.e. Form W-8BEN,
Form W-8BEN-E, Form W-8ECI, Form W-8EXP, and Form W-8IMY). Please pay particular attention as to which version of
the W-8 form is the proper form given the entity classification of the individual or legal entity that will be receiving
payments from FanDuel Group or its subsidiaries.
3. By law, FanDuel Group may not accept a Form W-8 or Form W-9 if it is not the current version of the form in question.
Please be certain that you have completed the most recent revised version of the applicable form available on the
Internal Revenue Service’s website.
Suppliers Who Are “United States Persons”
Suppliers who are considered to be “United States Persons” under section 6010 of the Internal Revenue Code must provide
FanDuel Group with a fully completed Form W-9. The FanDuel Group tax team will have the sole discretion to determine if a
provided Form W-9 is fully completed for these purposes. A new Supplier cannot be set up in our accounting systems to
facilitate payment until a fully completed Form W-9 is received and approved by FanDuel Group.
Suppliers Who Are NOT “United States Persons”
Suppliers who are NOT considered to be “United States Persons” under section 6010 of the Internal Revenue Code must
provide FanDuel Group with a fully completed version of the Form W-8 that is appropriate given the entity classification of the
individual or legal entity that will be receiving payments from FanDuel Group or its subsidiaries. The FanDuel Group tax team
will have the sole discretion to determine if a provided Form W-8 is fully completed for these purposes. A new Supplier
cannot be set up in our accounting systems to facilitate payment until a fully completed Form W-8 is received and approved
by FanDuel Group.
- For Suppliers whose employees or agents will be physically located within the US while performing services for
FanDuel Group or its subsidiaries, please pay particular attention to the “Claim of Tax Treaty Benefits” section on the
Form W-8. FanDuel Group is legally required to withhold 30% from payments made to such Suppliers on behalf of
the Internal Revenue Service unless treaty benefits that would reduce or eliminate this withholding obligation are
claimed in the “Claim of Tax Treaty Benefits” section. Please speak with your tax advisors to determine if there are
US tax treaty benefits available given your specific facts and circumstances.
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