DEX Vendor Application

The Business Contact should be the person that will coordinate the file synchronization that is required to insure DEX's receiving accuracy and efficiency. Also, this contact will coordinate the test, and certification, once the file work is complete. The test will be in one store that your company services.

The "Other" Contact is optional; please indicate the type of contact.

Once all information is entered, submit will forward to SEG B2B Department. Acknowledgement will be sent to you within three business days.

Company (Supplier) Information
*
ENTER NAME
ENTER VALID ZIPCODE.
Contact Information
*
ENTER BUSINESS.
*
ENTER NAME.
*
ENTER EMAIL ADDRESS. EMAIL ADDRESS MUST BE IN A VALID FORMAT (xxx@xxx.xxx)
ENTER VALID PHONE NUMBER (10 digits)
Technical Information
EMAIL ADDRESS MUST BE IN A VALID FORMAT (xxx@xxx.xxx)
ENTER VALID PHONE NUMBER (10 digits)
Other Information
EMAIL ADDRESS MUST BE IN A VALID FORMAT (xxx@xxx.xxx)
ENTER VALID PHONE NUMBER (10 digits)
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