VLX Registration Form

Please make sure you have reviewed the VLX standard file format, and are conforming to the EDIFACTS standards used by Baxter, which is needed to be able to upload your order successfully.

User Name:		(Lastname, Firstname)
Email Address:	(*required)	(Email address of individual who needs to receive purchase order acknowledgement back.) (eg: emailaddr@baxter.com)
Customer Telephone #:	(*required)
Customer Fax #:
Customer Name:	(Facility Name with Baxter)
Address:
City:
State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Software:		(Please supply the material management system used to generate your purchase order file.)
Location ID:		(The facilities location ID or your Baxter 8 digit account number.) (Location ID must be numeric only) NOTE: For multiple Location IDs, separate with a comma.

EC Toll Free phone number:

877-EDI-BAXTER
877-334-2298

Direct phone number:

847-948-4004

 

Mailing/Courier address:

Baxter Healthcare Corporation
E-Commerce Support DF4-1E
One Baxter Parkway
Deerfield, IL 60015-4634

E-mail:

ecteam@baxter.com