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Procurement Series - January 2022 Application
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone
*
Your answer
Company name
*
Your answer
Company Address
*
Your answer
What is your product or service?
*
Your answer
How long have you been in business?
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Your answer
What is your company's revenue? (select one)
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0 - 100k
100k- 250k
250k- 500k
500k - 1m
Over 1m
How many employees do you have?
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Your answer
List any certifications you have:
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Your answer
Are you currently doing business with the federal government?
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Yes
No
If yes, with what government agency?
Your answer
Are you currently registered with any buyers?
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Yes
No
If yes, what buyers?
Your answer
What are three (3) specific goals that you are trying to accomplish this year? List in order of priority:
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Your answer
Have you ever requested a business loan?
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Your answer
Are you a member of any business organizations? Please list:
Your answer
How did you hear about this program?
Your answer
A copy of your responses will be emailed to the address you provided.
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