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COMMON LANGUAGE^® Equipment Identification:
Update Manufacturer Request Contact Information

Please use this form to advise us of changes to your equipment-coding Request Contact information.

Up-to-date contact information allows us to verify that requests submitted in your name have in fact been originated by authorized personnel.

Accurate contact information also makes it easier for us to resolve questions that might otherwise delay the equipment-coding process.

Manufacturer Name: ^*
Manufacturer Code: ^*
Billing Code: ^*
New Contact Name: ^*
New Contact Street: ^*
New Contact City: ^*
New Contact State/Province: ^*
New Contact Postal Code: ^*
New Contact Country: ^*
New Contact Phone: ^*
New Contact e-Mail: ^*
New Contact Fax:
Old Contact Name: ^*
Old Contact Phone:
^*These fields must be completed.

Comments and Questions

Feel free to send us any comments and questions you may have. We look forward to hearing from you.

Common Language Information Services