Supplier Registration

Putting our values into practice, we encourage all potential suppliers, specifically Minority/Women and Disabled Veteran-Owned Business Enterprises (M/W and DVBEs), to register with us to further discuss opportunities to partner with Comrise as we continue to expand on a global scale.

Those suppliers who are interested in working with Comrise should register by clicking on the link below to complete a company profile. The completion of your company profile will allow our Supplier Diversity Representatives to access this information when a need for a product or service comes up.

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In order to be considered for future business opportunities, please take 5 minutes to complete the registration form below.

Please fill out all required (*) and applicable fields.
Company Information
Company Legal Name *
DBA (if applicable)
Federal ID # *
Previous Year Revenue	<$1M $1M-$5M $5M-$10M $10M-$25M $25M-$50M $50-$100M >$100M
# of W2 Employees
Contact Information
Address 1 *
Address 2
City *
State *
Zip Code *
Contact Person *
Job Title
Email *
Phone Number
General Business Information
Description of Products/Services
Geographic Regions Supported	Entire United States Midwest U.S. Northeast U.S. South U.S. West U.S. Canada Mexico India Others
References Please provide 3 company references of companies currently doing business with you. Include company name, contact name, email, and description of services.
Experience Supplying to Federal, State or Local Government Customers:	Yes No
If Yes, enter CAGE code
Facility Cleared Company:	Yes No
Certifications
Is your company minority business certified?	Yes No
If yes, please choose type of minority-owned business:	Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Service Disabled Veteran Owned Business Enterprise (SDVOB) Veteran-owned Business Disabled Veteran Business Enterprise (DBE) HUBZone Small Business Concern (HUBZone) Small 8a Business Small Disadvantaged Business Lesbian, Gay, Bisexual and Transgender (LGBT) Other
Is your company SBA Certified?	Yes No
SBA Certification Number
SBA Expiration Date
National Minority Supplier Development Council	Yes No
NMSDC Council
NMSDC Number
Date of Expiration
Federal/State/ Municipality/Other Certification	Yes No
Agency
Number
Date of Expiration
Women's Business Enterprise National Council (WBENC)	Yes No
Council
Number
Date of Expiration

• If you have any questions or inquiries regarding the completion of this form, please contact Supplier Diversity at supplierdiversity@comrise.com.
  
• If you experience an error, please contact our Web Administrator at MIS@comrise.com.