Potential Vendor Form

Dear Vendor, Thanks for your interest in working with Newmark. Please provide the information requested below as accurate and complete as possible. Please review the information required and gather it beforehand, as you must complete the form all at once (the option to save and continue later is not available).

Company Info

Vendor Region*

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Status*

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Vendor Name

Vendor Address*

Vendor City*

Vendor State or Province*

Vendor Country*

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Vendor Zip*

Vendor Website*

Vendor Phone Number*

Phone

Vendor Contact Name*

Contact Position*

Vendor Contact Mobile Phone*

Phone

Vendor Contact Email*

DUNS number

Please indicate payment term (s) accepted by you company*

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Are you certified as diverse supplier?*

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What diversity certification (s) does your company hold?

example: Women-owned enterprise (WBE)

Services and Geographical Coverage

Number of years in business*

Please select the main service provided by your company*

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Please select all the services offered by your company*

Select all that apply

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Please select all the regions where you provide services*

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US states where you provide services*

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Canadian Provinces where you provide services*

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Mexican States where you provide services*

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Central American Countries where you provide services*

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South American countries where you provide services*

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Provinces of Argentina where you provide services*

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Brazilian states where you provide services*

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Region of Chile where you provide services*

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Departments of Colombia where you provide services*

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Caribbean countries where you provide services*

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Western European Countries where you provide services*

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Easter European Countries where you provide services*

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Middle East countries where you provide services*

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Asian countries where you provide services*

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Oceanian countries where you provide services*

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African countries where you provide services*

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Within the country (ies) you operate, please list territories or cities where you have offices or branches*

Please list your key/top customers*

Please add any additional comment or information

Attachments

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