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* 1. Please indicate your current small business status. Please check one status only.

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* 2. If (SDB), please provide certification number below.

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* 3. If (SDB), enter the 6-digit NAICs Code that most closely represents the product, commodity or service that your company is likely to sell to Sigma-Aldrich.

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* 4. If (HUBZone), please provide certification number below.

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* 5. You agree to notify Sigma-Aldrich within 30 days of any status change to your business. Please note that misrepresentation of your status may result in exclusion from future Sigma-Aldrich bid events.

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* 6. Company Information:

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* 7. Company Website:

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* 8. Contact Information:

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* 9. List Products or Describe Services Offered.

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* 10. If service provider, what Sigma-Aldrich locations can your company provide service to?

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* 11. Are you an existing vendor or have you previously done business with Sigma-Aldrich?

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* 12. List and date recently awarded Agreements/Projects.

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* 13. References: Name, Phone #, Company Name.

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