USE New Customer DC - Accounting & Fulfillment Information

New Customer Contact Information Form

Accounting, Inventory, Purchasing, Fulfillment
Your Name:

First NameLast Name
Your Email:
example@example.com
Company Name:
Company Legal Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Ship to Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Address Ship to Code (GLN)
Do you have multiple ship to addresses?
If yes, please upload DC/FC shipping addresses:

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Accounts Payable Contact Info

First NameLast Name
Accounts Payable Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Accounts Payable Email
example@example.com
Accounts Receivable/Trade Spend Contact Info

First NameLast Name
Accounts Receivable/Trade Spend Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Accounts Receivable/Trade Spend Email
example@example.com
Inventory Contact Info

First NameLast Name
Inventory Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Inventory Contact Email
example@example.com
Receiving Contact Info

First NameLast Name
Receiving Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Receiving Contact Email
example@example.com
Delivery Hours & Special Instructions (lumper, lift gate, limitations on truck size, etc.)
Delivery/Receiving Hours:
Do you have a vendor or routing guide?
If yes, please attached vendor/routing guide.

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Do you require a lumper?
Preferred Pallet Type?
Does your company have EDI capability?
Contact that will use the poppi order entry portal?

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email
example@example.com
EDI Contact Information

First NameLast Name
EDI Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
EDI Contact Email
example@example.com
Vendor Number Assigned to poppi
What is your test qualifier?
What is your test ISA ID?
What is your test GS ID?
What is your production qualifier?
What is your production ISA ID?
What is your production GS ID?
Do you require Case Labels?
Do you require Pallet Labels?
Should be Empty:

New Customer Contact Information Form