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Purchasing Services Supplier Profile Questionnaire

To contact our purchasing services department, please provide the following information about your organization.

* Indicates required field
Company name: *
Company address: *
City: *
Province/State: *
Postal/Zip: *
Company website:
Company contact: *
Title:
Your e-mail address:
Phone: * Ext:
Fax: Ext:
How long has your company been in business? (Years) *
Does your company website provide information about the type of products and services offered? Yes    No
If you answered 'No' above, please tell us about the products and/or services you offer:
General comments:
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