Add a third-party vendor to your account

Your Email Address

Name

First

Last

Your Company Name

Vendor Company Name

The company name of the vendor you'd like to add to add to your account

Vendor Domain Name

The domain name of the vendor

name Add only)

Add Multiple Vendors Below (provide domain name only)

For Multiple Vendors: Please add Vendor Domain Name as a list. Only the domain is required. (comma or space delimited) epic.com,ucla.edu,wal-mart.com