GM Label Certification Registration
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Please fill out the form below and press submit at the bottom of the page.

All fields marked with * are required to be filled out before you submit.
 Company Info
*Company Name: 
*GM Supplier Code (DUNS): 
*State / Province: 
*Zip Code / Postal Code: 
Tax Excempt No.: 
 Contact Info
*First Name: 
*Last Name: 
Phone Country Code: 
*(Area Code) Phone Number:  ( )  Ext. 
(Area Code) Fax Number:  ( )
*Email Address: 
 Indicate Bar Code Equipment Used To Generate And Verify Your Label Submission
   Labels Are Web Portal Generated:
   *Printer:    Make/Model:   Part No.: 
    Verifier:    Make/Model:    Part No.: 
  Scanner:    Make/Model:    Part No.: 
  Software:             Title:    Version: 
     Media:         Style:     Material: 
Additional Information 
    Please contact me regarding purchasing ready made formats, barcode equipment, software, and/or media.
  *Number of label formats for Certification:
  Credit Card / Paypal.
  Wire Transfer. ($20 USD Fee Applies)