VSM New Vendor Application Page

Company Information

*Company Name :

CAGE :

*Country :

*Street Address 1 :

Street Address 2 :

*City :

*State :

*Zip :

Check here if you have been assigned a Department of Defense Activity Address Code (DODAAC) :

Point of Contact Information

*First Name: MI : *Last Name:

*Phone Nbr :

*E-mail Address :

Invalid Email Format

Fax Nbr :

*Contract Type

Destination :

Origin :

*Inventory Control Points w/Current Contracts

DLA Troop Support - Philadelphia :

DLA Land & Maritime - Columbus :

DLA Aviation - Richmond :

Check here if you receive your contract information via Electronic Data Interchange (EDI) :

If you checked "EDI", please provide the following info :

(This information will allow your Purchase Order Information to be available in VSM on the same day the award is made.)

Routing Number Group Segment (GS) :

Interchange Segment (ISA) :

* Asterisk denotes required fields


	DSS / Vendor Shipment Module