Supplier Selection, Evaluation and Re-Evaluation Form
 
 
Purchasing Selection*
 
 
 
 
Company Name*
 
 
 
 
Address Line 1*
 
 
 
 
Address Line 2
 
 
 
 
Address Line 3
 
 
 
 
City*
 
 
 
 
Country*
 
 
 
 
State / Province (North America only)*
 
 
 
 
Zip / Postal Code (USA only)*
 
 
 
 
Zip Postal Code (outside USA)
 
 
 
 
Company Phone Number*
 
 
 
 
Fax Number
 
 
 
 
Website
 
 
 
 
DUN #
 
 
 
 
Tax ID #*
 
 
 
 
Key Contact First Name*
 
 
 
 
Key Contact Last Name*
 
 
 
 
Job Title*
 
 
 
 
Direct Phone*
 
 
 
 
Email*
 
 
 
 
Process, Products, Services Provided*
 
 
 
 
Company Type*