Prospective Supplier Questionnaire

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* 1. Vendor name:

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* 2. Vender diversity designation (if any):

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* 3. Rep contact name:

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* 4. Rep contact email:

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* 5. Rep contact phone number:

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* 6. Type of offering:

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* 7. Category of supply, service, or department that would use the supply or service:

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* 8. Description of supply or service available:

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* 9. What is the typical ROI for an organization with your product or service?

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* 10. Are you a part of any GPO contract?