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* Vendor or Supplier Name

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* Target Vendor Number

If you have more than one Target Vendor Number, enter the additional Vendor Numbers below.

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* Additional Target Vendor Numbers

GDS Primary Contact

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* First Name

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* Last Name

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* Email Address

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* Phone Number

GDS Secondary Contact

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* Secondary GDS Contact Full Name

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* Secondary GDS Contact Email

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* Secondary GDS Contact Phone

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* If you selected "Other" for Vendor Suppliers Data Pool, please specify below.

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* Vendor or Supplier Information Provider GLN

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* Target Merchandising departments in which you do business.

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* Additional Comments

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* All information on the handling of your data can be found in our Privacy Policy.*

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