ITT Advanced Engineering & Sciences

Vendor Survey

Vendor Survey

Company Name:

Date Founded:

Address:

City:

State:

Zip Code:

Telephone: Website:

Point of Contact:

Title:

Point of Contact EMail Address:

Online Ordering: Yes No

Primary NAIC Codes:

Business Type: Check all that apply Distributor Manufacturer Service Consultant

Provide a brief description of your products, services, or capabilities:

Business Classification: Check all that apply

Large Women-Owned Small disadvantaged

Small Veteran Owned Minority Institution

HBCU Service-Disabled Veteran Minority Owned

ORCA SBA HubZone Certified

Other:

	SBA SDB Certified		Registered in CCR
	8(a) Certified		Self Certified

Additional Information. Current or Previous Government or Government related contracts include some businesses you currently supply: