Supplier Information page:
Minnesota Supplier Showcase Nominated Supplier Information Form
Thank you for your interest in the Minnesota Supplier Showcase. This form is for suppliers who have been nominated for the June 18th, 2012 showcase to share information with the selection committee. Please complete the information below.
 
Information is due by May 22nd, 2012. For questions on the form or process please contact contact beth_kessler@mckinsey.com or david.matthew.johnson.slp@medtronic.com.
* = Required Fields
Itasca Business Bridge Supplier Information
Reference Provider Information
Company Name *
Company Address
 *
Website URL *
Contact Person Name *
Contact Person Title *
Contact Person Phone Number *
Contact Person e-mail address *
High Level Business Category (e.g. "Marketing Analytics") *
Public or privately held?
D&B DUNS Number (if applicable)  
Number of full time employees *
Number of part time employees *
Year Established *
Brief description of business operations, products or services
*
What distinguishes your company, products and services from your competitors? What are some of the new features/options of your products and services?
*
How will incremental revenue from Minnesota-based companies impact your employment levels in Minnesota?
*
Number of current customers *
List key clients *
Projected sales for the current fiscal year ($) *
Sales last fiscal year ($) *
Sales two fiscal years ago ($) *
Diverse Supplier Certification (select all that apply)
 
If you are a small or diverse business, please list all agencies or associations with whom you are certified (SBA, MMSDC, Central CERT, WBENC, etc.).
Describe capabilities to serve large customers
 
List any achievements, recognitions, or awards received by your company, including customer recognition.
Other information you wish to share.