NOTE:
This form is for company Address or EDI
Contact changes only. Only technology information
will be updated. This will not update Accounts Payable or Masterfile
information (i.e. mergers, acquisitions, etc.) Requests will be completed
within five business days.
All fields required unless specified. |
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| VENDOR INFORMATION |
| Vendor Name |
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| EDI Contact Name |
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| Phone Number (xxx-xxx-xxxx) |
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| Extension (Optional) |
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| New Company Address (Optional) |
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| NEW CONTACT INFORMATION |
| Contact Name |
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| Contact Type |
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| Email Address |
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| Confirm Email Address |
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| Phone Number (xxx-xxx-xxxx) |
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| Extension (Optional) |
|
|
| DELETE CONTACT INFORMATION |
| Contact Name (Optional) |
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