NJ VENDOR REGISTRATION FORM |
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| New Jersey Air Services Development Office, Newark Liberty International Airport Building #80, Second Floor, Newark, New Jersey 07114 Phone: 973.961.4278 Fax: 973.961.4282 Email: NJASDO@ASDOonline.com |
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| ASDO is a procurement assistance program; this information will be shared with appropriate aviation representatives. | |||
| Company Name: | |||
| Address: | County: | ||
| City: | State: | Zip Code: | |
| Telephone: | Fax: | ||
| Toll-Free: | Pager: | ||
| Email: | Web Site: | ||
| Contact: Mr.( ) Ms. ( ) | Title: | ||
| First Name: | Last Name: | ||
| Year Started: | Annual Rev: $ | No. Employees: | Bid Capacity: $ |
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Form of Business: Check all of the categories that apply: |
Business is certified by: | ||
| Proprietorship ( ) | SBE (Small) ( ) | NJT ( ) | NJS ( ) |
| Corporation ( ) | MBE (Minority) ( ) | SBA ( ) | PANY&NJ ( ) |
| Partnership ( ) | WBE (Women) ( ) | Other: | |
| References: | |||
| Company | Contact | Telephone | |
| Comments: (i.e., "Free Delivery," "Open 24 Hours," etc., up to15 lines) | |||
| Products/Services: (Select up to 20 Products/Services from our Printer Friendly list.) | |||
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Return the completed form by fax or mail. |
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