Add Vendor - The Alliance Buying Group | Exclusive Optical and Medical Supply Purchasing Programs

Identify the manufacturers and brands from which you plan to make purchases frequently and billing preferences.

Select Vendors(Required)

To add more than one preferred vendor, please use the + symbol.

Vendor

Account Number

Bill Through CECOP

Yes

Have a vendor not listed? Please include them below:

I agree to being billed by the above vendors through CECOP

Member Number:

Printed Name:(Required)

Signature:(Required)