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Business Identification
Business Class (Check
All That Apply)
Business Ownership
(Check All That Apply)
Certifications - Documents of Certification are
Subject to Verification
(Check All That Apply, Supply Certificate Number)
When Contract Mandates, Can Your Company Provide the
Following Safety and Insurance Information
(Complete All That Apply)
Products, Services, and Specialties Your Company
Provides
How Did You Learn About C.I.S. Supplier Program?
Please Identify the Geographic Areas Served
(Check All That Apply)
Top 10 Customers
Indicate Which Business Unit or Division of C.I. S You
Have Done Business With in the Last 12 Months. Also Describe the
Products/Services Provided, and the Buyer or Contact Name(s)
(Complete All That Apply)
Provide Current C.I. S. Supplier Number
(If Applicable)
E-Procurement Supplier Readiness
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