Seminar/event registration and memberships are now being handled through the online store. |
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1. Who are you? |
(you are required to fill out this section) |
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| Your name |
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Your email address
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2. Please give us your feedback, or send us an article: |
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| We want to see what you have to say! |
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4. Here is where you can apply to become: |
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A Certified Purchasing Manager
To request brochures, enter quantity:
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App. for Certification/Original Lifetime
App. for Recertification/Lifetime
Written/Computer CPM Exam Reg. Form
CPM Knowledge/Respect/Confidence/Promotions
CPM Review (correspondence course)
NAPM Products Catalog
NAPM Seminar Catalog
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5. Here is where you can register your business: |
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With the Institute for Supply Management - Silicon Valley, Inc. Woman/Minority-Owned Small Business Directory
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With the Institute for Supply Management - Silicon Valley, Inc. Commercial Buyer's Commodity Directory
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| Company's web address |
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| Employer ID Number (use SSN if your company has no Federal ID number) |
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| DUNS Number |
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| How is your company organized? |
Corporation
"S" Corporation
Sole Proprietor
Partnership |
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| Parent company, if any |
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| Average yearly gross revenue (over the past 3 years) |
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| Average number of employees (over the past 3 years) |
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| Is your company at least 51% woman-owned? |
Yes
No
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| Is your company at least 51% minority-owned? |
No
Yes (If yes):
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| Is your company at least 51% owned by the following? |
U.S. Citizen Disabled person Veteran Vietnam-era veteran 1964-1975 |
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| What type of business is your company involved in? |
Construction
Manufacturer
Vendor or Supplier--Dealer
Vendor or Supplier--Distributor
Research and Development
Service
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| List products, services, special capabilities and important categories under which you want your business listed. The system searches businesses based on the capabilities you list in this section. 200 characters permitted. |
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| List your Standard Industrial Codes (SIC) here. (Click here) for SIC details. |
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| CertificationThis is a small business as defined in the
definition section; 2) that the characteristics of the firms ownership are
accurately reflected in the ownership section; 3) that all information
supplied herein (including all attachments) is correct; and 4) that
neither the applicant nor any person or concern in any connection with the
applicant as principal or officer, so far as known, is now debarred or
otherwise declared ineligible by any agency of the federal government from
making offers for furnishing materials, supplies or services to the
government or any agency thereof.
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| Name of owner or principal of company |
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| Title |
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| Owner or principal's email address |
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6. We'll need a little more information: |
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| Your title |
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Years in profession
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Level of education you've reached
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Level of purchasing accreditation
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Company name
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| Street Address or PO box |
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| City |
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| State |
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| Zip Code |
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Phone number
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Fax number
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7. Payment Information: |
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Non-Secure Transaction
This form will be sent to ISM-Silicon Valley as an unsecure reply form, and any information on it may be intercepted by a third party. By completing
the form below, it is understood that you hold harmless Institute for Supply Management - Silicon Valley, Inc. or it's consultants from any misuse of this information by a third party.
If you are uncomfortable releasing billing and credit card information in this manner, then please call Institute for Supply Management - Silicon Valley, Inc. at 408-929-6276 to complete
this transaction, or fax a filled-out version of this form to Institute for Supply Management - Silicon Valley, Inc. at 408-762-2505
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| Your name on card |
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| Company's name as on card |
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| Is the card's
address different from your company's as listed above? |
Yes
No (if no, please skip the address fields below) |
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| Street Address or PO box |
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| City |
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| State |
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| Zip Code |
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Type of card
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Visa
MasterCard
American Express |
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Card number
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Card's Expiration Date
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Please list what item(s)
we are billing you for
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Amount you are authorizing us to bill
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$ |
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thank you! |