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Small Business Registration

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General Information
Company
Street
Other
City
State	ZIP
Web Site
Total Employees
Year Established
DUNS Number
CAGE Code

Corporate Facility Clearance

Please list your company's primary North American Industrial Classification Code (NAICS) and any others under which you qualify as a small business.
The NAICS lookup tool can be found at http://www.naics.com/search.htm.
Primary NAICS Code U.S. NAICS Title

Please list the city and state where you have a corporate facility:

Please list any other U.S. locations where you have personnel/resources:

Please list international countries where you have resources/experience:


Point of Contact

Name
Title
Phone	Ext.
Fax
eMail
Confirm eMail


Business Classifications

Check boxes that apply

8(a) Certified

SDB (Small Disadvantaged Business as certified by the SBA)

WOSB (Women-Owned Small Business)

VOSB (Veteran-Owned Small Business)

SDVOSB (Service-Disabled Veteran-Owned Small Business)

HUBZone (Historically Underutilized Business Zone, as certified by the SBA)

HBCU/MI (Historically Black College/University or Minority Institution

AbilityOne (JWOD) Affiliated

State Certifications (DVBE, MBE, WBE, HUB, Other)

Certification

State


References

EDS Past Performance

From the following list please indicate the Federal clients you have supported.

Agency for International Development

Central Intelligence Agency

Dept. of Agriculture

Dept. of Commerce

Dept. of Defense

Dept. of Defense - Air Force

Dept. of Defense - Army

Dept. of Defense - Ballistic Missile Defense Organization

Dept. of Defense - Defense Information Systems Agency

Dept. of Defense - Defense Logistics Agency

Dept. of Defense - Marine Corps


If so, please enter dollar amount.
Dates of Services
Please list the EDS representative you worked with.
Name
Account
Phone

Enter dollar amount.
Dates of Services
Please list the EDS representative you worked with.
Name
Account
Phone