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Questionnaire

The information requested below must be complete in order to process your profile. Please verify the contact information you provide and include an e-mail address.

When your profile is received you will be notified via e-mail.

Are you filling out a new or updated Supplier Profile?
New Profile Updated Profile
   
Company Name:
 

Owner Salutation:
Owner's Name:
First Last Middle
Owner's Title:
 
Is Contact Information same as Owner Information?
Contact Salutation:
Contact Person:
First Last Middle
Contact's Title:
   
Physical Address:
Suite:
City:
State:
County: (Ex. Tarrant)
ZipCode: -
   
Is Mailing Address same as Physical Address?
Mailing Address:
Suite:
City:
State:
County: (Ex. Tarrant)
ZipCode: -
   
Telephone Number: ( )- - ext.
Fax Number: ( )- -
Toll Free: ( )- -
Toll Free Fax: ( )- -
Web Site:
Email:
   
Type of Organization:

Select the category that best describes your business. If you select both commodity and services, please specify your "Primary" category.

Note the category you select may also require a sub-category selection.
Main Commodity:
Sub Commodity:
Main Service:
Sub Service:
   
If you have selected both commodity and service, please specify your 'Primary' category.
Commodity Service
   
Based on Small Business Administration Standards (www.sba.gov/size/), the company is:
(Contact SBA at 1-800-8ASK-SBA)
   
1) Small Business

  
  Large Business
  If "Small Business" are you:
Veteran Owned
Service-Disabled Veteran Owned
 
2) Certified as Small Disadvantaged Business?

If yes, Expiration Date of Certification: (mm/dd/yyyy) 		Yes
No
 
3) Certified as HUBZONE by SBA? Yes
No
 
4) Historically Black College/University or Institution? Yes
No
 
5) Please use the following link to find your appropriate NAICS code.

North American Industrial Code System (NAICS code):
 
   
Have you ever done business with TXU? Yes
No
  If Yes when? (Year only)
 
Do you accept MasterCard? Yes No
 
In order to qualify as a M/WBE, the company must be 51% owned, operated and controlled by a minority(s) or woman/women. Please check the appropriate classification.
   
African American Male Hispanic Male
African American Female Hispanic Female
Asian Indian American Male Native American Male
Asian Indian American Female Native American Female
Asian Pacific American Male White Female
Asian Pacific American Female White Male
   
If you have been certified by a Minority Business Enterprise, Woman Business Enterprise, or Small Disadvantaged Business certifying agency, please complete the following by filling in the appropriate agency(ies) and certification expiration date(s).
 
 
Agency's Name:
1)
If Other then list the agency's name.
Expiration Date:
2)
If Other then list the agency's name.
Expiration Date:
3)
If Other then list the agency's name.
Expiration Date:
4)