New Test Supplier registration
Supplier data
Unique name: (Uniqueness is checked when submitting.)
Unique identifier: (Uniqueness is checked when submitting.)
Description:
Email: (For LALPT communication.)
Country:
State:
ZIP:
City:
Address: (Posting address)
Voice: (For LALPT communication.)
Fax:

*Fill only one of these parts, as appropriate for you!
 
*REGISTERED supervisor's login
Identifier:
Password:
     Cancel changes
Use this part if the supervisor of the new supplier is already a registered user in the LALPT system.
However, to be accepted as supervisor, this user must not be disabled in the time of registration!

 
*UNREGISTERED supervisor's data
Unique name: (Uniqueness is checked when submitting.)
Unique indentifier: (Uniqueness is checked when submitting.)
Password:
Password check: (Re-enter the password)
Description:
Email:
Country:
State:
ZIP:
City:
Address:
Voice:
Fax:
     Cancel changes
Use this part if the supervisor of the new supplier is not a registered user in the LALPT system yet.
In this case the supervisor will be registered as a new LALPT user.