Supplier Questionnaire

Step 1 >> General Information

Please fill out the form below.
ยค denotes required field.

Legal Company Name: ¤
Legal Address: ¤
City: ¤ State: ¤ Zip: ¤
Main Contact Name: ¤
Phone Number: ¤ Fax Number:
Tax ID Number: ¤
Indicate the type
of organization:
Indicate if your company
is certified as a:
Minority Women owned business
Name & Address of
Certification Organization:
How long in present
line of business:
Financial Information:
¤ Annual Sales Revenue:
Liquidity Ratio:
Sales to Total Assets:
Inventory Turnover:
Dun & Bradstreet Number and Rating:
Operating Expenses as a % of Sales:
If distributor or jobber, include a list of the manufacturers
for which you are an authorized distributor or sales agent
If services/construction you may enter N/A
¤ Manufacturers
¤ Please indicate your annual spend with each manufacturer:
Continue to Step 2 ...