Business Information

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Required fields are bolded.

Section I. Business Information
This application is for:  
 

Company Information
Legal Company Name:
User Name:
Doing Business As:
Federal Tax ID Number:
D&B DUNS Number:
 
Physical Address
Physical Address:
Address (Cont.):
City:
Country:
State:
Zip/Postal Code:
 
Remit To Address
Remittance Address:
Address (Cont.):
City:
Country:
State:
Zip/Postal Code:
 
Company Phone Number:
Company Fax Number:
Company Website (URL):
 
Company Ownership:  
 

Principal Owner Information
Owner 1
Name Title E-mail
Gender Owner Ethnicity % Ownership
Owner 2
Name Title E-mail
Gender Owner Ethnicity % Ownership
Owner 3
Name Title E-mail
Gender Owner Ethnicity % Ownership
 

Contact's Information
Contact Name:
Job Title:
Phone Number: Ext.
Fax Number:
E-Mail Address:
 

Section II. Business Biography

Company Data
Legal Structure:
Business Type:
 
Geographical Service Area (What is this?):


What state and/or Country are you registered to collect tax?
Year Business Established:
Number of Employees:
 

Company Insurance
 Insurance (What is this?)LimitProviderExp. Date
Automobile Liability ...
Cargo Insurance ...
Commercial General Liability ...
Employer's Liability ...
Employment Practices Liability ...
Errors and Omissions ...
Worker's Compensation ...
 

Products and/or Services
Enter specific keywords describing your business specialty (up to 500 characters)
 
 

Products and/or Services Information
What can your company add that currently isn't offered within the Target Corporation?
Describe the ideal purchasing department within Target Corporation.
Describe the appropriate Target Corporation floor pad/area of the store for your product category.
Describe your product/service end-user.
Describe your company's competitive advantage.
How long has your agency/law firm been in existence? 
How is your ownership structured, e.g., partnership, corporation, etc.?
 

Annual Sales Volume

(Quoted in US dollars, numbers only, no comma or decimal point. I.E., 3000000)
2012 Annual Sales:
2011 Annual Sales:
2010 Annual Sales:
 

References
List up to three customers: (at least one reference is required)
Reference 1
Company Name Contact Name Phone Number
Product/Service Provided Largest Contract to Date  
 
Reference 2
Company Name Contact Name Phone Number
Product/Service Provided Largest Contract to Date  
 
Reference 3
Company Name Contact Name Phone Number
Product/Service Provided Largest Contract to Date  
 
 

e-Business Readiness
Do you have an online catalog? Can you sell your products/services online?


Are you electronic procurement technology or Electronic Data Interchange (EDI) capable? Have you or your company participated in an electronic bid process?


 

Section III. Business Certification

Certification Information
If your company is a minority-owned, woman-owned or small business enterprise, please check the appropriate box(es) below and follow the prompts.
  Are you SBA CCR listed?
 
Is your business presently certified for all of the classifications which you have selected above?
 
 

False Representation of Business Statement
The undersigned certifies that the applicant company (1) is neither owned nor affiliated with an employee of the federal government, or (2) if so, that employee of the federal government is not responsible for doing business with Target Corporation.
 
Preparer's Name:
Preparer's Phone Number:  (Numbers only)  Ext.
Preparer's Email Address: