|Please enter your contact details in the space provided (bolded fields in red designated with an * are required):|
|*Primary SIC (Standard Industrial Classification code)|
|*# of Employees|
|*Primary Service Provided|
|If the service your company provides is not listed above, select "Other" above and specify it here:|
|*Diverse or Small Business Supplier?|
|*Percentage of Diversity/Small Business Ownership|
|If you have a Diversity / Small Business classification, please check all that apply|
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.
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.