Vendor Inquiry for Affiliated Partnership

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* 1. Company Name

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* 2. Name of Product or Service (if different than Company name)

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* 3. Primary Contract Person

Name

Title

Phone Number

Email Address

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* 4. Company Website

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* 5. Which focus area(s) does your company, product, or service support?

Workforce

Financial Stability

Quality

Innovation

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* 6. Explain how this/these focus area(s) is/are addressed.

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* 7. APP is funded through a revenue share with affiliated partners. Is your company willing to provide a revenue share in exchange for promotional activities?

Yes

No