Company's legal name (required)

Company's operating name (required)

Street Address

City [cityfieldtext city]

Postal Code / Zip Code

Country

Province / State

Is this your corporate head office?YesNo

Website

First Name (Given name)

Last Name (Surname)

Business Title

Email address

Phone (office)

Phone (office)

Give a brief description of the product(s) and/or service(s) you provide.

What industries does your company's product(s) and/or service(s) cover?

In which locations can you provide your product(s) and/or service(s)?

Is your company a current supplier to us?YesNo

Does your company qualify as a Diverse Supplier*?YesNo

Canada:

ABE – Aboriginal Business EnterpriseVMBE – Visible Minority Business EnterpriseWBE – Women Business EnterpriseLGBT – Lesbian, Gay, Bi-Sexual and Transgender

United State:

MBE – Minority Business EnterpriseWBE – Women Business EnterpriseDOBE - Business Enterprise Owned by People with DisabilitiesVBE – Veteran-owned Business EnterpriseDVBE – Disabled Veteran Business Enterprise

Are you interested in receiving more information on certifying your company as a diverse supplier in Canada and/or the USA?YesNo