SBE Vendor

Vendor Information Form

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SBE Company Name

SBE Company Address

Contact Name

Title

Phone

Fax

Email

Website

Business Type

LLC

Sole Proprietorship

Partnership

S-Corp

Corporation

Certifications

New Castle County (NCC) Registered

Small Business Enterprise

Minority Business Enterprise

Women Business Enterprise

Other Certifications

Specify Other Certifications Name(s)

Small Business Enterprise

DE

MD

PA

Other

Specify Small Business Enterprise Name

Minority Business Enterprise

DE

MD

NJ

PA

Wilmington

Other

Specify Minority Business Enterprise Name

Women Business Enterprise

DE

MD

NJ

PA

Other

Specify Women Business Enterprise Name

Primary Service/Product Offerings (use keywords like “trophies,” “HVAC equipment,” “consulting,” “outdoor sign display,” “staff augmentation”)

Number of years in business under current company name

Number of DE resident employees

Has the company worked directly with NCC in the past five (5) years?

Yes

No

Has the company worked as a subcontractor on a County contract in past five (5) years?

Yes

No

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SBE Vendor

Vendor Information Form