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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.
Full Legal Name
Company Address (Street, City, State, Zip)
Date Established (Month, Year)
Number of Employees (define number of part-time and full-time separately)
Contact Phone Number
What Category Best Describes Your Business (Please elaborate below if needed)
Facilities and Operations
Food & Food Services
General Banking Services
Other (Fill in description below)
Further Category Descriptions
Please check the following regarding the ownership of your business (for definitions, please check here:
Minority Owned Business
Woman Owned Business
Small Disadvantaged Business
Disabled Veteran Business
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This form was created inside of Lehigh Valley Association of Independent Colleges.
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