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Supplier Registration Form
Contact Information
Company Name
Parent Company
Address
City
State
Zip
Phone
Fax
Contact Name
Title
Email
Check the MATLET Group facility you currently work with
Acme Prinitng Co.
Central Florida Press
TMG Logistics
Packaging Graphics
NOVA Marketing Services
Product/Service your company provides
Number of Full-time employees
Dun & Bradstreet Number
Annual Sales
2007:
2006:
2005:
Geographic Service Area
Local:
Regional:
National
International
Company Classification
Small business concern (as needed by the small business administration)
Minority owned business (at least 51% owned, controlled, and managed daily by one or more citizens belonging to at least one of the following ethnic groups: African American, Latino, Asian American, Asian Indian, Native American)
Women-owned business at least 51% owned, controlled, and managed daily by a woman or women (US Citizens)
IS THE BUSINESS CERTIFIED BY A THIRD PARTY ORGANIZATION, GROUP, OR AGENCY SUCH AS >> National Minority Supplier Development Council; Women’s Business Enterprise National Council; Local, State or Federal Government MBE Certification?
Yes
No
If yes, please upload a copy of your certification
Our Company is Not a Woman or minority owned business (WMBE)
IF NOT A WMBE, DOES YOUR COMPANY HAVE A SUPPLIER DIVERSITY PROGRAM?
Yes
No
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