partners

Partners

Supplier Registration Form

Thank you for your interest in registering with Apex Computer Systems, Inc. Once registered, your supplier profile will be in our database and will be evaluated should business opportunities arise for the products or services your company provides.

Business Information (* Indicates required fields)

  • Yes No
  • - - Ext
  • Privately Owned Publicly Traded

Business Profile

    • Sole Proprietorship Corporation
    • Limited Liability Company Partnership
    • Other
    • Manufacturer Service Provider
    • Distributor Retail
    • Staffing Other
    • Local (within city/state) National (USA)
    • Regional (within 3-5 state area) International
  • Yes; when? No
  • Year Amount
    Last Year Annual Sales

Diversity Classification & Certification Information

  • Yes No
    • Minority-Owned Disabled-Owned
    • Veteran-Owned Women-Owned
    • Other
    • Is your business currently certified as a Minority and Women Business Enterprise (MWBE) with National Minority Supplier Development Council (NMSDC), Women's Business Enterprise National Council (WBENC), or associated organizations? If so, please list and attach the certifications to this form.
  •   (1) (2) (3)
    Council/Organization
    Certification Number
    Certification Expiration Date

Principal Customer References & Contacts

Company Name * Contact Name * Phone Number *

The undersigned certifies that the information provided above is legitimate and accurately reflects the condition of the company to be registered. The undersigned also understands that any fabrication or attempts to misrepresent the company may result in the loss of its privilege to conduct business with Apex Computer Systems, Inc. and its partners.