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Welcome to the Potential Vendor Page!

We appreciate your interest in working with Dynomax.

Potential Vendor Form
Company Identification
Full Company Name* A value is required.
Mailing Address Street
City
State Zip
Country
Contact Person* A value is required.
Title
Phone
Fax

Federal ID No. or
Social Security No.		 Dun &
Bradstreet No.
Years in Business Approx. No. of Employees

Ownership & Business Classification

Business Size: (Check One)  
Large Business Small Business

Business Concern: (Check All That Apply)    
Non-Profit/Handicapped Affiliated
Government Certified SDB
Veteran Owned Small Business
 HubZone
Women Owned & Operated
Foreign Owned
Service-Disabled Veteran Owned Small Business

If Small Minority Owned Business: (check the appropriate racial group)
African American
Native American		 Asian Indian
Asian Pacific		 Hispanic
Other

Business Class: (Check one)
Sole Proprietorship Corporation Subsidiary
Partnership Joint Venture Other
If Joint Venture or Subsidiary, name of parent company
Contact at parent company Phone

Principal Products / Services

Business Type* (Give percentage for each area. Total must equal 100%)

Distributor Service Manufacturer Other
Research & Development  

For Manufacturer: Size of Facility Square feet.

Commodity Information* -- Major Commodity Group (Check all that apply)

Bearings
Motors (AC/DC, High Freq.)
Grinding (ID/OD)
Precision Boring		 Casting
Raw Material
Turning
Plating

Other Services:

Quality Control and Union Information

Do you have a Quality Control Manual? Yes No

Quality Control Procedures are based on

ISO9000 Certified? Date
By whom?
Other (Specify)

Are employees covered by a collective bargaining agreement? Yes No
If YES, Name of Union Agreement Expiration Date


Individual Completing This Questionnaire:

Notice: In accordance with U. S. C. 645(d), any person who misrepresents a firm's proper size classification shall (1) be punished by imposition of a fine, imprisonment, or both; (2) be subject to administrative remedies; and (3) be ineligible for participation in programs conducted under the authority of the Small Business Act.

Name* A value is required.
Title
Date* A value is required.Invalid format.
Email* A value is required.Invalid format.

Comments

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