Supplier registration Company nameCompany addressCityProvince/StateProvince/StateAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificPostal/Zip CodePhone NumberYear EstablishedWebsite Annual SalesAnnual SalesUnder $250,000.00$250,001 – $500,001$500,001 – 1 Million1 Million – 5 Million5 Million – 20 Million20 Million – 100 MillionOver 100 MillionCreditsafe #Supplier CategorySupplier CategoryAdvertisingCalibrationCateringChemicalsCleaningCompressorsConstructionElectrical ConsumablesElectrical EquipmentEngineering ServicesEnvironmental ServicesFabrication and WeldingFire ProtectionFreight & StorageFurnitureGraphic DesignGround MaintenanceHRRelocation ServicesHealth & SafetyHotels & VenuesHydraulicsITIT HardwareIT ServicesIT SoftwareInstrumentationLegalMachiningMail & CourierMechanical ConsumablesMechanical EquipmentMechanical PartsMechanical ServicesMetalsManagement & StrategyMobile PlantOffice JanitorialOffice ServicesPPEPipes & FittingsPower Supply EquipmentProperty LeasingPumpsSPTATE (Special Tools & Test Equipment)Seals & GasketsSecurity EquipmentSecurity ServicesStationaryTelecomsTools & ConsumablesTraining & EducationValvesWaste ManagementWelding Machinery & AccessoriesOtherContact NameContact Phone NumberContact Email Address Business Type (Choose all that apply) Corportion Individual LLC Partnership Subsidiary Other If Business type “Other”, provide detailsCountry in which you conduct business (Choose all that apply) Canada Australia United Kingdom U.S.A. China Japan Mexico Germany Other If “Other”, provide location(s):Diversity Status (if your business is at least 51% owned, controlled and actively managed by any of the following) (Check all that apply) Minority Owned Business (MBE) Women Business Enterprise (WBE) Small Business Enterprise (SBE) LGBTQ+ Veteran Business Enterprise Disabled Veteran Business Enterprise Disability Owned Business Enterprise Not Applicable Other If "Other", please specifyEthnicity (If minority owned, please check applicable) Indigenous Black/African Asian White/Caucasian Hispanic/Latino Middle Eastern Not Applicable Other If "Other", please specifyCertifying Agency (Check all that apply) National Minority Supplier Development Council(NMSDC) Small Business Administration(SBA) Government Agency Woman Business Enterprise(WBE) Women's Business Enterprise National Council (WBENC) Canadian Aboriginal and Minority Supplier Council (CAMC) National LGBT Chamber of Commerce(NGLCC) Other If "Other", please specifySelectSelectNational Minority Supplier Development Council (NMSDC)Small Business Administration (SBA)Government AgencyWoman Business Enterprise (WBE)Women’s Business Enterprise National Council (WBENC)National LGBT Chamber of Commerce (NGLCC)Canadian Aboriginal and Minority Supplier Council (CAMC)OtherCertificate NumberSelectSelectNational Minority Supplier Development Council (NMSDC)Small Business Administration (SBA)Government AgencyWoman Business Enterprise (WBE)Women’s Business Enterprise National Council (WBENC)National LGBT Chamber of Commerce (NGLCC)Canadian Aboriginal and Minority Supplier Council (CAMC)OtherCertificate NumberSelectSelectNational Minority Supplier Development Council (NMSDC)Small Business Administration (SBA)Government AgencyWoman Business Enterprise (WBE)Women’s Business Enterprise National Council (WBENC)National LGBT Chamber of Commerce (NGLCC)Canadian Aboriginal and Minority Supplier Council (CAMC)OtherCertificate NumberSelectSelectNational Minority Supplier Development Council (NMSDC)Small Business Administration (SBA)Government AgencyWoman Business Enterprise (WBE)Women’s Business Enterprise National Council (WBENC)National LGBT Chamber of Commerce (NGLCC)Canadian Aboriginal and Minority Supplier Council (CAMC)OtherCertificate NumberNameThis field is for validation purposes and should be left unchanged.
