Supplier Application Form

If you are interested in learning more about the market opportunities that SMDI could provide, please provide us with the following information. This information will be kept confidential and shall be used for the sole purpose of identifying potential suppliers for ARDEC.

Business Profile
Company Name:*  
Address:*  
City:*  
State:*  
Zip:*  
County:*  
Phone:*
(xxx-xxx-xxx)    
Fax:  
Website:
Location Type:
Ownership Type:
Year Established:
Number of Employees:*  
Yearly Revenue:
Primary SIC Code:
Secondary SIC Code:
Primary NAICS:
Secondary NAICS:
Other NAICS:

If you are a current DoD Contracter, please select which type:

If you were once a DoD Contracter, please select which type:



Contact Information:
Primary Contact:
Name:*  
Position:*  
E-Mail:*    
Phone:*    

Secondary Contact
Name:
Position:
E-Mail:
Phone:


Description of Products:*    

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"The SMDI process has opened the door to a new market for us"

Duane Brown
Sales Manager
Lehigh Valley Plastics


Supplier Application Form Supplier Application Form


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