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You have completed STEP 1 in becoming a vendor with the NFL Super Bowl Emerging Business Program. Please fulfill the following additional steps to complete the application:
STEP 2: PLEASE FILL OUT AND
SUBMIT THE FORM BELOW
* INDICATES A REQUIRED FIELD
*
Name of Business:
*
Contact Person:
*
Title:
*
Phone Number:
(Include area code)
*
E-mail Address:
*
Primary Type of Business:
Select One
Service
Manufacturing
Construction
Other
*
Type of Ownership/
Legal Structure:
Select One
Sole Proprietorship
Corporation
Partnership/Joint Venture
Limited Liability Co.
*
Is your business minority
or woman-owned?
Select One
Yes
No
*
Gender:
Select One
Male
Female
*
Ethnic Group:
(Shift/Click to select multiple)
Select One
African-American
Hispanic-American
Native-American
Asian-American
Non-minority
*
Certification Status:
Select One
MBE
WBE
DBE
non M/WBE
Application Pending
I have not applied
Note:
Only businesses certified with one of the approved certifying
agencies listed below will be included in the Business Resouce Guide
*
Certifying Agency:
(Select one)
Select One
City of Tampa
Hillsborough County
Florida Office of Supplier Diversity
Florida Minority Supplier Dev. Council
US Small Business Adminstration 8(a)
I have not yet applied
*
Current number of Employees
(Please put "0" if not applicable)
Full-Time:
Part-Time:
Contract Personnel:
Is your company insured?
Select One
Yes
No
If yes, please provide the following:
Agent:
Phone:
Address:
Contact:
Type of Insurance:
Coverage Limit:
Is your company bonded?
Select One
Yes
No
If yes, please provide the following:
Type:
Limit:
Bonding Company:
Address:
Contact:
Phone:
Please list three major projects and/or clients that have
used your product/service within the last 15 months.
*
Project#1:
*
Amount Grossed:
*
Date:
*
Client Phone#:
*
Project#2:
*
Amount Grossed:
*
Date:
*
Client Phone#:
*
Project#3:
*
Amount Grossed:
*
Date:
*
Client Phone#: