Username  Password
   
Primary Contact First Name Primary Contact Last Name
   
Address: City
   
State Zip Code
   
EMail Address Primary Phone (Include area code)
   
Secondary Phone Fax Number
   
GSA Schedule contract number The BPA number if any ( listing of individuals authorized to purchase under the BPA)
   
Delivery or performance time frames Location of deliveries
   
Frequency of ordering and invoicing Date of BPA expiration (Format mm/dd/yyyy)
   
Agency
       
   
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