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*Required Information
Contact Name: *
Company Name: *
Company Address: *
Address Line 2:
City: *
State: *
Zip: *
Telephone: *
 Email: *
 
Value Added Network or AS2 enablement Solution

SENDER/RECEIVER IDs:(Used in ISA 05/06 for sending documents
and ISA 07/08 for receiving documents)
  Production Test
ISA Qualifier:
ISA Sender/Receiver ID:
GS Sender/Receiver ID:



What standards and/or document versions does your organization support?
Standard: UCS
 X12
 Other (Please Specify)
 
Documents:
810 Invoice Version
850 Purchase OrderVersion
997 Acknowledgement Version
 
880 Invoice Version
875 Purchase Order Version