SIGN-UP FORM
ESIS (Bell Helicopter E-Commerce Application Service Provider)
Your Company Profile:
Supplier ID 
*this information is provided on the letter
Company Name 
Company Address 
Company Address Line 2 
City or Town 
State 
Country
Zip Code 
E-Commerce Contact:
Name 
Phone  
Fax  
Email  
Sales Contact:
Name 
Phone 
Email 
For the Bell Helicopter E-Commerce Solution, My Choice of Method Is:
  Use Harmony Order Management (Internet Solution)
There is NO charge for HOM if you're only using it with Bell Helicopter divisions. If you are an existing ESIS customer, the Bell Helicopter set-ups will be added at no additional charge.

Do you currently have an existing HOM account?  yes     no  
Do you wish to use your existing HOM account?   yes     no   
What is your current login?    
  Use my existing translator/VAN
(Please make sure date below is correct. Specifications are located at: www.esisinc.com/support/bell/index.html

Translator
VAN
(if other)
 
Your ISA Qualifier
Your ISA ID
Your GS ID
 
Which documents are you automatically integrating into your system?
Purchase Order Order Status Inquiry
Change Order Request for Quote
Planning Schedule Shipping Schedule
Forecast Receiving Advice
Your Ready Date for EDI (mm/dd/yyyy)  / /
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