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.
Email address *
Company Name *
Full Legal Name
Company Address (Street, City, State, Zip) *
Date Established (Month, Year) *
Website Address
Number of Employees (define number of part-time and full-time separately) *
Contact Name *
Contact Email *
Contact Phone Number *
What Category Best Describes Your Business (Please elaborate below if needed) *
Further Category Descriptions
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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