| 1) | Have you ever registered with FSU before?* |
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Yes (Update company profile)
No (Create new profile)
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| 2) | Company Name (40 characters MAX)* |
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| 3) | Website Address (example: http://www.fsu.edu)
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| 4) | First Name (Primary Contact Name)* |
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| 5) | Last Name (Primary Contact Name)* |
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| 6) | Title
(Job title or position.)
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| 7) | Email Address (enter in all lower case)* |
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| 8) | Business Phone Number {format: (xxx) xxx-xxxx}:* |
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| 9) | Business Fax Number {format: (xxx) xxx-xxxx}: |
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| 10) | Business Address 1 (55 characters MAX)* |
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| 11) | Business Address 2 (55 characters MAX) |
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| 12) | City* |
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| 13) | County |
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| 14) | State* |
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| 15) | Zip (Postal Code)* |
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| 16) | Country* |
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| 17) | Government Classification: This information allows us to more accurately tailor the Sourcing process with your business. For more information regarding the MBE Codes, please access this link: http://purchasing.fsu.edu/info/mbeclasscodes.pdf * |
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| 18) | Has your business been certified as a Minority Business by any of the following?* |
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City of Tallahassee
Leon County
Municipal government in Florida, other than Tallahassee or Leon County
State of Florida's Suppler Diversity Office
Out of the State of Florida
No
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| 19) | Please select the product and service codes your company offers. (To perform a multi-code selection, hold down the "Ctrl" Key while selecting the codes. Likewise, click on the selected code to un-select it from your selections while holding down the "Ctrl" Key.)
* |
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| 20) | Is your business's headquarters located OUT of the state of Florida?* |
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Yes
No
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| 21) | Does your business employ 200 or fewer permanent full-time employees and have a net worth of not more than $5 million?* |
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Yes
No
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| 22) | Is your business at least 51% owned by a minority person(s), if so, select a minority option that applies to your business:* |
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African American
American Woman
Asian/Hawaiian American
Hispanic American
Native American
Not Applicable
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| 23) | Established Year
(The calendar year your company was established)
* |
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| 24) | Average Annual net worth* |
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| 25) | Number of full-time permanent Employees* |
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| 26) | Communication Preference
(When possible, we will try to send you information using your preference.)
* |
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Email
Fax
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| 27) | List five businesses you've done work for (only one can be an FSU reference). Please include the name and phone number of the contact person. |
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The above text contains HTML formatting
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| 28) | Does your company accept "VISA" as a method of payment?* |
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Yes
No
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| 29) | Would you like to receive more information about Florida State University's Supplier Diversity Initiative?* |
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Yes
Not Applicable (Not a small, woman, or minority owned firm)
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| * = Required field |
