Provider Software ID - Issued later

SYSTEM DEVELOPER VENDOR CODE ADDRESS PHONE (T) FAX (F) & E-MAIL (E) CONTACTS
123 SOFT INC. SI 230 –123 Bannatyne Avenue Winnipeg, Manitoba R3B 0R3T: (204) 799-6497 E: info@123softinc.com James Briscoe
Anne to add all others to do

Will issue these codes when a software vendor passes conformance testing