MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C7D847.036448D0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C7D847.036448D0 Content-Location: file:///C:/0F551CF4/SUPPLIERDIVERSITYPROGRAMINFOSHEET.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PC SUPPLIER DIVERSITY PROGRAM - INFO SHEET

SUPPLIER DIVERSITY PROGRAM

APPLICA= NT INFORMATION SHEET

 

 =             &nb= sp;        COMPANY NAME: 

 =             &nb= sp;            =    ADDRESS 1: 

 =             &nb= sp;            =    ADDRESS 2: 

 =             &nb= sp;            =             C= ITY: 

 =             &nb= sp;    STATE / PROVINCE:       ZIP: 

 =             &nb= sp;            =      COUNTRY: 

 

 =             &nb= sp;     CONTACT PERSON: 

 =             &nb= sp;            =            TITLE:<= span style=3D'mso-tab-count:1'> 

 =             &nb= sp;            =   TELEPHONE: 

 =             &nb= sp;            =              FAX: 

 =             &nb= sp;       E-MAIL ADDRESS: 

 

APPLICABLE PROCESSES

 

PLEASE SELECT THE PROCESS WHICH BEST DESCRIBES THE SERVICE(S) AVAILABLE FROM YOUR COMPANY:

 =             &nb= sp;       INJECTION MOLDING=

 =             &nb= sp;       TOOL & DIE MANUFACTURING / MAIN= TENANCE

 =             &nb= sp;       PAINTING

 =             &nb= sp;       CHROME AND/OR SPECIALTY PLATING

 =             &nb= sp;       EQUIPMENT MAINTENANCE

 =             &nb= sp;       FACILITIES MAINTENANCE / HOUSEKEEPI= NG / GROUNDSKEEPING

 =             &nb= sp;       SORTING SERVICES<= /p>

 =             &nb= sp;       PACKAGING

 =             &nb= sp;       OTHER (PLEASE DESCRIBE BELOW)<= /o:p>

 =             &nb= sp;         

 

MINORITY CERTIFICATION STATUS

 

TO QUALIFY FOR THE SUPPLIER DIVERSITY PROGRAM, APPLICANTS MUST PROVIDE A COPY OF A MINORITY CERTIFICATE ISSUED BY= THE NATIONAL MINORITY SUPPLIER DEVELOPMENT COUNCIL (NMSBC) OR ONE OF ITS REGION= AL AFFILIATES.  PLEASE PROVIDE THE FOLLOWING INFORMATION FROM THE CERTIFICATION AS WELL AS A COPY OF THE CERTIFICATE WITH YOUR SUBMISSION:

 

 =             &nb= sp;            =         CERTIFICATION BODY: 

 =             &nb= sp;            =        CERTIFICATE NUMBER: 

 =             &nb= sp;            =             &nb= sp;         NAIC CODE: 

 =             &nb= sp;            =             &nb= sp;      DATE ISSUED: 

 =             &nb= sp;            =              EXPIRATION DATE: 

 

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