Edi Partnerupdated Contact Information Form

EDI PARTNER UPDATED CONTACT INFORMATION FORM

Please complete the form below. We are not able to process incomplete forms.

Instructions for emailing or faxing forms to Kroger and Fred Meyer Non-Food: Fred Meyer Non-Food & Fred Meyer Jewelry vendors: email the form to [email protected] , or fax the form to 817-549-5810 Kroger vendors: email the form to [email protected] , or fax the form to 203-724-4393

EDI Contacts

The Kroger Co. recognizes changing business conditions sometimes result in new EDI Partner contacts for both our companies. Please complete this form to ensure we have updated contact information when there is a direct change in who manages our account with your company.

Your Information Required Fields in Red

Your Company Name:

ISA Id:

EDI Contact:

E-mail:

Phone: - - Extension Fax: - - Address1:

Address2: Address3:

State:

Country:

User Contact:

E-mail:

Phone: - - Extension

Please select all Kroger Divisions your company does business with: Required: Select at least one.

Div Kroger Marketing Area Div Kroger Marketing Area

036 Dillon Stores 018 Kroger Michigan

701 Fred Meyer Stores (Non-Food) 029 Kroger Mid Atlantic/Roanoke

Fred Meyer (Food) 015 Puyallup 024 Kroger Mid South 022 Clackamas

701 Fred Meyer Jewelers 034 Kroger Southwest/Houston

028 Fry’s Food 035 Kroger Southwest/Dallas

038 King Sooper 388 Peyton's GHC

011 Kroger Atlanta 181 Peyton's Northern

021 Kroger Central/Indianapolis 086 Peyton's Mid South

017 Kroger Central/Shelbyville 185 Peyton's Phoenix

014 Kroger Cincinnati 087 Peyton's Southeast

010 Ralphs Riverside 016 Kroger Columbus 020 Ralphs Glendale 030 Ralphs Compton

023 Kroger Delta/Memphis 019 Smith's Food & Drug Additional Comments

Prior to sending, you may want to print a copy of this form for your records.

Fax or E-mail Forms Fred Meyer Team: Fax: 817-549-5810, E-mail: [email protected] (For Fred Meyer Non-Food and Fred Meyer Jewelers) Kroger Team: Fax: 203-724-4393, E-mail: [email protected] (For all other divisions)