GDK Supplier Registration

Please highlight whole page, copy, and complete offline.

Registration Information

All are Required fields.

 

Section I. Business Section

  Legal Company Name:
  DBA Company Name:
  User Name:
  D&B DUNS Number:
   

Physical Address

  Address:
   
  City:
  Country:
  State / Region:
  Zip / Postal Code:
 
 

Mailing Address

  Address:
   
  City:
  Country:
  State / Region:
  Zip / Postal Code:
 
  Is your company an affiliate, division, or subsidiary of another business?
 
 
  Company Phone Number:
  Company Fax Number:
  Company Website (URL):
 

Principal Owner Information

Owner 1

    Name       Title       E-mail
           
    Gender     % Ownership      
           

Owner 2

    Name       Title       E-mail
           
    Gender     % Ownership      
           

Owner 3

    Name       Title       E-mail
           
    Gender     % Ownership      
           
 

Contact Information

  Contact Name:
  Title:
  Phone Number:
Ext.
  Fax Number:
  E-Mail Address:
 
 

Section II. Business Biography

Company Data

  Business Type:
  Legal Structure:
 
  Year Business was Established:
  Number of Employees:
 
  Are you a current vendor/supplier for GDK?
 
 
  Geographical Service Areas:
 
 
 
Please Click Here to Select Commodity Code(s).  
 
  Please Click Here to Select Commodity Code(s):
 
 
To remove items from the list above, highlight the item and
click the Remove From List button.
 
 
Please Click Here to Select Primary NAICS Code  
 
  Please Click Here to Select Primary NAICS Code:
 
 
 
 
Please Click Here to Select Secondary NAICS codes  
 
 
 
To remove items from the list above, highlight the item and
click the Remove From List button.
    Describe the Product Lines / Services your company provides using keywords:

     

Annual Sales For 2011:  

Annual Sales For 2010:  

Annual Sales For 2009:  

References

  Has your company done business with GDK in the last five years?

   

GDK Contact Name:    

Brief Description of Products/Services:  

Reference 1

  Company Name   Contact Name   Products/Services Provided
     
  Phone   Email
   

Reference 2

  Company Name   Contact Name   Products/Services Provided
     
  Phone   Email
   

Reference 3

  Company Name   Contact Name   Products/Services Provided
     
  Phone   Email
   
 

Section III. Business Classifications

Certification Information : Cage Code; yes_1kk56 no_

   

Section IV. E-Business Readiness

  Can you sell your products/services online?   Are you Electronic Data Interchange (EDI) capable?
 
 
 
  Do you accept credit cards?   Do you have an online catalog?