Company Name:
Address:
City, State   Zip Code
EMail Address:
Phone	Fax
Website:	Cage Code:   NAICS Code:
Corporate/Parent Plant Location (if different from above)
TYPE OF SUPPLIER: Calibration LabElectronic ComponentsR&D Casting/ForgingExtrusionScrew Machine ChemicalsGeneral MachiningSheet Metal CNCMetal FinishingStamping CompositesPlastic MoldingTesting Lab Distributors  Other (Please Specify)
TYPE OF COMPANY: LargeSmallSmall Disadvantaged Women OwnedVeteran OwnedService Disabled Veteran Owned Hub ZoneHBCU/MI
TYPE OF SPECIAL PROCESSES: WeldingSolderingPlatingHeat Treat NDT (Please list) Other (Please specify)
Special Customer Quality Designations: (i.e. XYZ Bronze Supplier)
Domestic OwnedForeign Owned
KEY PERSONNEL AND CONTACTS: Primary Point of Contact: Title: Phone: Email: Senior Company Official: Title: Phone: Email: Quality Assurance Contact: Title: Phone: Email:
GENERAL INFORMATION:
Does your company perform government prime contracts or sub-contracts?YesNo
Total number of employees:   MFG:    ENG:    Quality:
Quality Manual Revision and Date:
System Approvals: AS9100ISO9001MIL-Q-9858NADCAPOther (Please specify)
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