Vendor Details

Unique identifier for this vendor (auto-generated if left blank)
Vendor type*
Primary phone number (Format: (123) 456-7890)
Fax number (Format: (123) 456-7890)
Physical Address
Mailing Address
Billing Address
Federal Employer Identification Number (Format: 12-3456789)
Social Security Number (Format: 123-45-6789)
Tax exempt*
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