IC Net Company Opportunities

Name of Firm

This is a required question

Business/Mailing Address (P.O Box Not allowed)

Address Line 1

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Address Line 2

This is a required question

City

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Region/Province/State

This is a required question

Zip/Postal Code

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Country

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Name of the Contact Person

This is a required question

Email Address of Contact Person

Must be a valid email address

This is a required question

Telephone Number

This is a required question

Fax Number

Must be a number greater than 0

This is a required question

Web Site

Must be a valid URL

This is a required question

Year of business established

Must be a number between 1,900 and 2,013

This is a required question

In which country is your business registered?

This is a required question

Number of Full-time employees

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DUNS Number

This is a required question

Is the business a small business?

This is a required question

Is your firm a Women Owned Business Enterprise?

This is a required question

Are you a Minority Business Enterprise (MBE) and certified by the National Minority Development Council?

This is a required question

Are you a certified Disabled Owned Business Enterprise(DBE) and meet the requirements of the Disabled Business Enterprise as identified by the United States Small Business Administration?

This is a required question