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Vendor Qualification Survey
Thank you for your interest in working with LVAIC. Please fill out the form as completely as possible and your information will be added to our vendor database. If we have an interest in your goods or services, we will contact the person listed on the form below.
Company Name *
Full Legal Name
Your answer
Company Address (Street, City, State, Zip) *
Your answer
Date Established (Month, Year) *
Your answer
Website Address
Your answer
Number of Employees (define number of part-time and full-time separately) *
Your answer
Contact Name *
Your answer
Contact Email *
Your answer
Contact Phone Number *
Your answer
What Category Best Describes Your Business (Please elaborate below if needed) *
Further Category Descriptions
Your answer
Please check the following regarding the ownership of your business (for definitions, please check here: http://www.mwbe.com/cert/certification.htm)
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