MYA Manufacturer Onboarding Form

Complete the form below as part of a new the MYA New Manufacturer Paperwork. For any questions regarding the onboarding paperwork, please contact Aimee Yurgae at (123) 555-5151 or via email at

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Step 1 of 4

General Company Information

Corporate/Billing Address
Customer Service Contact Name
If applicable, please list any additional Customer Service contacts on the Key Contacts List attached below.
Click or drag a file to this area to upload.
Is your company EDI capable?
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