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Supplier Questionnaire and Contact Information

  * Required Information
Company Name *
   
Contact Name *
  
Street Address *
   
City *
   
State *
   
Zip *
   
Telephone *
   
Fax
Email *
   
Website

Business Ownership Classification

Company Type *
Ethnicity *  
NAICS Code *
   
DUNS Code *
   
Business Type *
  
Annual Sales
Service Area *
  
Year Established *
   
Structure
Parent Company
Incorporation
State of Incorporation
Total Employees (25000)

Products and Services That You Offer

Principle Product *
  
Other Products and Services

Quality Status/Certification

ISO 9000

QS 9000

TL9000

Other

Not Applicable

Certification Information

Is your company certified? *


If yes, please answer the following questions.
A) Has your company been certified by any regional NMSDC purchasing council? If so, please list.
Council
Number
Date (MM/DD/YYYY)
B) Has your company been certified by the Small Business Administration? If so, please list.
SBA Certification Number
Date (MM/DD/YYYY)
C) Other agencies that have certified your firm as a minority, women, or disadvantaged business enterprise.
Agency
Number
Date (MM/DD/YYYY)

Key Customers That You Do Regular Business With

Company Name
Contact
Telephone
Company Name
Contact
Telephone
Company Name
Contact
Telephone

Comments

Are you currently a supplier to Andrew Corporation?


If yes, please provide vendor code:

Do you have electronic capabilities?

Email
Reverse Auctions
Other