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Supplier Registration Form
Small/Mid size businesses seeking to discuss specific or general procurement opportunities with large companies, corporations and government agencies.
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Duns & Bradstreet DUNS Number
Federal ID Number
Company / Organization Information
Year Business was Established
Number of Employees
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1-10
11-25
26-50
51-100
101-200
201-500
500+
Business Type
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Corporation
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Top clients #1.
Top clients #2.
Top clients #3.
($) 2013 Revenue
($) 2014 Revenue
($) 2015 Revenue
($) 2016 Revenue
($) 2017 Revenue
($) 2018 Revenue
($) 2019 Revenue
($) 2020 Revenue
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Business Certification
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Minority Owned
Veteran Owned
Woman Owned
New York State MWBE
WOSB
HUBZONE
SDVOB
ANC or Tribally Owned
Small Disadvantaged Business
LGBT
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Quality Certifications (ISO 9001, Six Sigma, etc)
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2
3
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National Minority Supplier Development Council (NMSDC)
Women's Business Enterprises National Council (WBENC)
National Elite Service Disabled Veteran Owned Businesses (SDVOB)
Association for Service Disabled Veterans
8a
GSA
Others
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2
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