Company/Organization Name

Local Contact Name

Local Contact Title

Local Contact Email

Local Contact Phone

Local Contact Fax

Company/Organization Description:

Company Type (Software, Machining, Etc.)

Significant Capabilities

Company Address

City State Zip

Company/Organization Web Site

What Congressional District is your firm located in? (MN Only) --- 1 2 3 4 5 6 7 8

What Legislative District (Local)?

Year Founded

Approximate Annual Sales

Number of Employees (In MN or Dakotas)

Quality Certifications (ISO, Etc.)

Are you on a GSA Schedule?

Women-Owned/Vet/Disabled/8a Status?

Miscellaneous Information that would be usefull for alliance membership or job seekers:

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