Openinvoice Registration / Submission of This Form Will Result in an Openinvoice Account

OPENINVOICE REGISTRATION Submission of this form will result in an OpenInvoice account being created on your behalf which will allow you to submit your invoices electroncially to Progress Energy Canada Ltd. You will be required to submit any future invoices electroncially.

SUPPLIER INFORMATION Corporate Legal Name:

Trade Name (if applicable):

Address:

City: Province: Postal Code:

GST # PST #

MAIN CONTACT INFORMATION ADDITIONAL CONTACT INFORMATION (IF APPLICABLE) Name: Name:

Phone: Phone:

E-mail: E-mail:

BILLING INFORMATION First & last name of Progress approver/contact:

Start date with Progress (MM/DD/YYYY):

Number of invoices you will be submitting per month:

Do you submit invoices via OpenInvoice to any other company? ☐ NO ☐ YES

Brief description of what you supply/ what your services are:

Would you like someone to contact you with more information regarding integration set-up (LIDO/B2B submission type): ☐ NO ☐ YES

PLEASE SUBMIT COMPLETED FORM TO: [email protected]

DO NOT POPULATE – INTERNAL USE ONLY BA# ☐ Supplier ☐ Consultant Request Type: Approved By: Date: Date sent to ADP: ☐ Transacting ☐ Back to buyer