Organization information

We would like to know who you are

Organization name
Registration number
Vat number
Global Location Number (GLN) (optional)
Currency
Timezone
Address
Address 2 (optional)
Postal code
State/Region (optional)
City
Country

Partner Information

The company that manages your ERP system today

Partner name (optional)

Contact Information

How to reach you in case we need to

Name
Phone
Email
Email for EDI issues

Invoice Information

Where you, as a customer, receive invoices

E-mail
Name (optional)
Reference (optional)
Address (optional)
Address 2 (optional)
Postal code (optional)
City (optional)

Agreement Contact

E-mail
Name
Phone (optional)
Approver name (optional)
Approver Email (optional)

Login Credentials

Login credentials to GoldenEDI Portal

Name
E-mail
Password
Repeat Password