Add/Change a Vendor

Date (e.g., 04/01/04)

Add Change

Current Vendor Number

Current Vendor Name

Additional Location Vendor Moved

Vendor Buy-From Address

*Vendor Name

*Address Line 1

Address Line 2

*City

*State

*Zip

*Phone

*FAX

*Contact

*Contact email address

Payment Terms

*Commodity Group(s) List of commodity groups

Diversity Classification

Web Site URL

Vendor Remit to Address

Is Vendor Remit to Address the same as above?

Vendor Name

Street Address

City

State

Zip

Requestor Information

*Requested by

*Phone

*Email

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