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Electronic Data Interchange (EDI)

Electronic Commerce Partner Survey

Company Name:

Business Contact:

Phone:

E-Mail:

Fax:

Technical Contact:

Phone:

E-Mail:

Fax:

Mailing Address:

Street Address:

City:

State:

Zip Code

Internet URL :

Description:

Are you currently exchanging documents using EDI?

Yes No

Do you support ANSI X.12 Version 4010?

Check transactions you support:
204   210     214   350 810   820
824   832    850     852   855    856
860   864    870    879   990 997

5a.

Do you have a Vendor Managed Replenishment Program supported through EDI sales transmissions? Yes (If no, skip to 5c)

5b.

If yes, which replenishment package are you using?

5c.

Do you plan on implementing a Vendor Managed Replenishment Program in the future? Yes No
Anticipated Implementation Date:

Do you use SCM UCC-128 standard carton labels on all shipping cartons?
(SCM = Shipment Container Marking) Yes No
Anticipated Implementation Date:

Which third party networks are you using?

Approximate date you could begin testing EDI with Pamida:

TEST:

Test EDI ISA ID Qualifier:	Test ISA ID:
	Test GS ID:

PRODUCTION:

Production EDI ISA ID Qualifier:	Production ISA ID:
	Production GS ID:

Electronic Commerce Partner Survey

TEST:

PRODUCTION:

Comments: