*Partner's Name:
*Street Address:
*Street Address 2:
*City:
*State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
*Zip Code:
*Phone #:
 
*Fax:
 
Website URL:
Year Founded:
Facility Clearance Level:
*No. of Employees:
Last Year's Revenue:
 
Taxpayer ID# (TIN):
DUNS #:
CAGE Code:
List location of other major facilities (city and state only):

This company is (check each category that applies and complete the information as applicable)
A Division of:
A Subsidiary of:
An Affiliate of:
Independently Owned and Operated:
Other (Describe):

Identify major Supplies/Services and/or North American Industry Classification System (NAICS) Codes
*Supplies/Services (select all that apply)
Administrative SupportInformation Assurance
C4ISRLogistics
Configuration ManagementNetwork Support
Database ManagementOther
EngineeringProgram Management
Facilities ManagementScientific
Financial ManagementSoftware Support
Hardware IntegrationTest and Evaluation
Help DeskTraining
Independent Verification & Validation Web Development
If Other was selected, please specify:

Primary NAICS Code(s):
*Sample List of Clients (Enter N/A if not applicable):

*List Certifications (e.g. ISO, SEI CMM / CMMI) (Enter N/A if not applicable):