Fisher & Company, Inc.

SUPPLIER EDI
Supplier Name: ________________________________

Contact Person: ________________________________

Phone #: ________________________________

Email Address: ________________________________

1) Type of Request: ___ New ___ Change-Explain: ___________________________________________

2) Please indicate which Fisher division(s) you will be trading with:

____ Fisher & Company - Corporate (01:006532584) ____ Fisher Dynamics - Poland (01:422333752)

____ Fisher Dynamics St. Clair Shores (01:098685100)

____ Fisher Dynamics Evansville (01:079603540) ____ FD Metal Forming Sterling Heights (01:189508625)

____ Fisher Dynamics - Matamoros (01:812923258) ____ FD Metal Forming Troy (01:830733858)

____ Fisher Dynamics - China (01:545290884) ____ FD Metal Forming Brownsville (01:809800936)

3) Your Trading Partner Information:

a) Trading Partner Code: _______________________
b) Qualifier: (ie 01 = Duns) _______________________

4) How would you like to trade Documents

a) Third party VAN: (Fisher utilizes GXS)
i) Name of your VAN: _______________________

b) Internet FTP: _________________

i) You will be contacted by a Plex EDI Specialist for setup parameters and testing.

c) Plex intercompany exchange (PlexusInternal):

i) What is the name of your PCN _____________________________________

Please return this completed form, and forward and EDI setup questions to FisherEDI@fisherco.com