Country: *
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Mailing Address (if different) |
Country: |
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Type of Ownership: * |
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The company must be at least 51% owned, controlled and actively managed by an individual or individuals that meet one or more of these business types.
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Company Management and Operation |
General Business Information |
Year Established: * |
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Current Annual Sales: * |
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Government and Diversity Certifications |
Certification Information |
Certification Expiration Date:*
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Product and Service Descriptions |
Brief description of your company's products and services: * |
Characters remaining: A value is required.Exceeded maximum number of characters. |
Are you a current UPMC supplier?: * |
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Does your company have experience in the Healthcare industry?: * |
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Do you have a past business relationship with UPMC?: * |
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If you have had past business relationships with UPMC, please list your primary UPMC contact? (otherwise leave blank): |
Referral Source: * |
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Click the Submit button to send your request to the UPMC Supplier Diversity Program.
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