Supplier Diversity

New Supplier Details
Supplier Registration
Please enter your contact details in the space provided (bolded fields in red designated with an * are required):
*FIRST NAME:
*LAST NAME
*COMPANY
JOB TITLE
*PHONE
*EMAIL
FAX
*BUSINESS
ADDRESS
*CITY
*STATE
*ZIP
WEBSITE
*Business Type
*Primary SIC (Standard Industrial Classification code)
*# of Employees
*Primary Service Provided
CatererMarketing/Ad AgencySoftware
ConstructionOffice SuppliesTemporary Staffing
Corporate Interior DesignPhotographyTransportation Services
Document ServicesPrinthouseOther
Hotel/Meeting SpacePromotional Materials
Mailing ServicePublic Relations Agency
If the service your company provides is not listed above, select "Other" above and specify it here:

Diversity Information
*US Citizen?
*Diverse or Small Business Supplier?
*Percentage of Diversity/Small Business Ownership
*Ethnicity
*Gender
If you have a Diversity / Small Business classification, please check all that apply
ANC (Alaskan Native Corporation Owned Firm)LGBT (Lesbian, Gay, Bisexual, Transgender)SDVBE (Service-Disabled Veteran-Owned Business Enterprise)
DBE (Disabled Business Enterprise)MBE (Minority Business Enterprise)VBE (Veteran-Owned Business)
HUBZone Small Business (8A Program)SBE (Small Business Enterprise)WBE (Women Business Enterprise)
HUBZSB (HUBZone Small Business)SDB (Small Disadvantaged Business Enterprise)

 

Consent


As part of our commitment to our Supplier Diversity program, we may, at times, wish to share your credentials with our clients as well as encourage majority vendors to provide for the participation of women and minority-owned business enterprises through meaningful partnerships, joint ventures, subcontracts and other contractual opportunities.

These efforts will require that we share your information with third-party contacts. In order to proceed, therefore, please provide your consent below acknowledging your understanding of these conditions.

   I Agree

For questions or further information about Blank Rome's Supplier Diversity program, contact Karyn Cleveland-Barnes at:
+1.202.772.5800 x3176 or e-mail Cleveland-Barnes@BlankRome.com.