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1
COMPANY INFORMATION
2
LEGAL AND FINANCIAL INFORMATION
3
SUSTAINABILITY REQUIRMENTS
Company Name*
Legal Entity Type*
Corporation
Limited Liability Company (LLC)
Manufacturer
Partnership - General and Limited
Small Business Corporation (S-Corporation)
Small Business Corporation (S-Corporation)
Business Registration Number*
Date of Incorporation/Formation*
Attach File
Business Address*
Postal/ZIP Code
Company Phone Number*
Company Fax Number
Company Email Address*
Full Name*
Job Title*
Department*
Direct Phone Number*
Mobile Phone Number*
Contact Email Address*
Business Overview and History*
Mission and Vision*
Key Management Personnel*
Number of Employees*
Geographical Presence*
Primary Market(s) Served*
Company Website*
Company Profile
Business Type*
Products/Services Offered*
List of Brands Represented*
Distribution Channels*
Annual Production Capacity*
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Tax Identification Number (TIN) or EIN
Value Added Tax (VAT) / Registration Number
DUNS Number
Payment Terms and Conditions
Bank Name
Bank Address
Account Name
Account Number
IBAN (International Bank Account Number)
SWIFT/BIC Code
Payment Methods Accepted
Credit Terms Requested
ISO Certifications
Yes
No
Industry-specific Certifications
Yes
No
Environmental Compliance
Yes
No
Safety Certifications
Yes
No
Quality Management Systems*
Client References
Supplier References
Trade References
Tax Identification Number (TIN) or EIN
Value Added Tax (VAT) Registration Number
DUNS Number
Payment Terms and Conditions
Key Differentiators
Key Differentiators
Agreement
Yes
No
Declaration
Yes
No
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Waste management policy
Yes
No
ISO certifications related to the sustainability (14001)
Yes
No
Energy source: % of renewable energy used by the manufacturing facility*
Water source: % of recycled/harvested water used in the manufacturing facility*
Usage of recycled items in production
Yes
No
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