Fillable AAA - Auto Club Supplier Inquiry Form

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AAA - Auto Club Supplier Inquiry Form

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The AAA - Auto Club Supplier Inquiry Form form is 1 page long and contains:

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  • 14 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

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Auto Club Group Supplier Inquiry Form
______________________________________________________________
Today’s Date
Company Name
Company Address (Street, City, State, Zip)
Contact Name
Contact Job Title
Contact Phone #
Contact Email Address
A. PRODUCT/SERVICE DESCRIPTION
1. Please select the category that best describes the primary product/service offered:
Claims Financial Facilities
IT (Hardware, Software, Services) Marketing Office Products
Printing and Fulfillment Travel and Touring Temporary Workforce/Consulting
Human Resources (Benefits, Training, Employment)
2. Describe product/service in detail:
B. COMPANY DESCRIPTION
1. Certification Status:
Certified MWBE (51% minority or woman ownership) Certified SBE (small business)
Certified Both MWBE and SBE Not Certified
2. Number of years in business: years
3. Number of employees: employees
4. Other comments or important notables:
C. REFERENCES: Please Provide 1-3 Business References
Reference #1 Reference #2 Reference #3
Contact Name
Contact Name
Contact Name
Company Name
Company Name
Company Name
Contact Phone #
Contact Phone #
Contact Phone #
Contact Email Address
Contact Email Address
Contact Email Address
D. Please email the completed form to acgpurchasing@aaamichigan.com with “ACG Supplier Inquiry
Form” as the subject of the email.
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AAA - Auto Club Supplier Inquiry Form

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Completed 26 May 2020

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