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Company Information
Company Name:
Street Address:
P.O. Box:
City/Town
State:
Zip Code:
Contact Name:
Phone Number:
Fax Number:
Pager Number:
Cell Phone:
Email Address:
*
Company General Delivery Email Address:
Website Address:
Type of Work or Supplies
List the type(s) of subcontracting or material supply opportunities your company desires. Attach line cards or brochures if applicable :
Area or Region of Work
My company is interested in projects within
miles of Harrisburg, PA.
My company is interested in projects anywhere in Pennsylvania:
Yes
No
Type of Organization:
Sole Proprietor
Partnership
Corporation
Certified MBE
Certified WBE
Other
Job size range in dollars your company is interested in:
From
To
Number of Employees:
1-5
6-10
11-15
16-25
26-50
More than 50
Number of years in business under current organization:
Bonding Capacity :
Provide any additional information that may be helpful in determining your firms' qualifications:
