Vendor Registration Form

Join our small business database to gain access to possible collaborative partners. The Principle Partnering Group, LLC. has a comprehensive procurement portal that allows us to qualify the capabilities and strengths of all vendors prior to presenting them to our clients. Through a vigorous screening and qualification process, we are able to align ourselves with the most qualified and cost effective suppliers that will benefit the needs of our clients.  All vendors interested with building a strategic relationship with The Principle Partnering Group, LLC. are encouraged to fill out our vendor registration form to enable us better understand and assess the your capabilities.

Company Name	:
Physical Address	:
City / State / Zip Code	: / AL AK AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY /
Same as physical address
Mailing Address	:
City / State / Zip Code	: / AL AK AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY /
Phone Number	: (10 Digits)
Fax Number	: (10 Digits)
Company Website	:
Contact Information
Name	:
Title	:
E-Mail Address	:
Phone Number	: (10 Digits)
Fax Number	: (10 Digits)
Best time to reach	: Morning	Afternoon	Evening
	: By Phone	By E-Mail
Company Data
Type of Entity	: Corporation Partnership Sole Proprietor Joint Venture Individual Other
Years in Business	:
Number of Employees	:
Federal ID Number	:
D-U-N-S	:
Insurance	: No Yes
Bonding	: No Yes
Annual Sales
Year 1 (Current Year)	:
Year 2	:
Year 3	:
Service Area	: Local Regional National International
Product(s) / Service(s)
Fresh Foods	: Beef Biscuits Bread Butter and margarine Cakes Candy Carbonated drinks Cereals Cheese Chicken Condiments Cookies Crackers Cream Desserts Diet foods Drinks Duck Eggs Entrées Fast foods Fish Flour Fowl, misc. Frozen dinners Fruit Grains Herbs and spices Hot drinks Ice cream, etc. Icings Jellies, jams, etc. Juices Lamb Lunch meats Meats, misc. Medicinal Milk Milk drinks Miscellaneous Muffins Nuts and seeds Pancakes, etc. Pasta Pastries Pies Pizza Pork Puddings Rice and rice dishes Rolls and buns Salad dressings Salads Sandwiches Sauces and gravies Sausage Seafood Snack foods Soufflés Soups Spreads, misc. Stuffing Sugar and syrups Toppings Turkey Veal Vegetables Yogurt
Frozen Foods	: Beef Biscuits Bread Butter and margarine Cakes Candy Carbonated drinks Cereals Cheese Chicken Condiments Cookies Crackers Cream Desserts Diet foods Drinks Duck Eggs Entrées Fast foods Fish Flour Fowl, misc. Frozen dinners Fruit Grains Herbs and spices Hot drinks Ice cream, etc. Icings Jellies, jams, etc. Juices Lamb Lunch meats Meats, misc. Medicinal Milk Milk drinks Miscellaneous Muffins Nuts and seeds Pancakes, etc. Pasta Pastries Pies Pizza Pork Puddings Rice and rice dishes Rolls and buns Salad dressings Salads Sandwiches Sauces and gravies Sausage Seafood Snack foods Soufflés Soups Spreads, misc. Stuffing Sugar and syrups Toppings Turkey Veal Vegetables Yogurt
Dry Foods	: Beef Biscuits Bread Butter and margarine Cakes Candy Carbonated drinks Cereals Cheese Chicken Condiments Cookies Crackers Cream Desserts Diet foods Drinks Duck Eggs Entrées Fast foods Fish Flour Fowl, misc. Frozen dinners Fruit Grains Herbs and spices Hot drinks Ice cream, etc. Icings Jellies, jams, etc. Juices Lamb Lunch meats Meats, misc. Medicinal Milk Milk drinks Miscellaneous Muffins Nuts and seeds Pancakes, etc. Pasta Pastries Pies Pizza Pork Puddings Rice and rice dishes Rolls and buns Salad dressings Salads Sandwiches Sauces and gravies Sausage Seafood Snack foods Soufflés Soups Spreads, misc. Stuffing Sugar and syrups Toppings Turkey Veal Vegetables Yogurt
Janitorial	: Acoustic Ceiling Blinds & Shades Carpets & Rugs Drapes & Curtains Ducts Furniture & Upholstery Mable Roof Cleaning Stone Supplies Tile Vacuum Vents Wall Tiles Windows
Other	:
List three references (local or otherwise) which have been or are now your customers:
Company Name	:
Reference Name	:
Address	:
Phone Number	: (10 Digits)
Company Name	:
Reference Name	:
Address	:
Phone Number	: (10 Digits)
Company Name	:
Reference Name	:
Address	:
Phone Number	: (10 Digits)
Business Classifications
Minority Owned Business Women-Owned Business Small Disadvantaged Business Small Business Historically Underutilized Business
Minority Classification	: Please Select One Asian-Indian Asian-Pacific Black Hispanic Native American
Certifications
Is your business certified	: No Yes
A copy of your certificate or letter of certification can be uploaded in a .jpg or .gif file format or be faxed to (123) 555-1234.
Certifying Agency Expiration Upload Certification City of Houston / HMBC / Metro / NMSDC / SBA 8(a) / Service Disabled Veteran / State of Texas, HUB / WBEA / TXDOT / Other /