Carriers/ISPs/Tower
Program Mgrs and Contractors
"Self Maintained" End Users
Manufacturers
Service and Repair Organizations
Technicians
Government
Retailers
Value-Added Resellers / Dealers
International
Consumers

Join the TESSCO Diversity-Based Business Alliance

Company Name:
Address 1:
Address 2:
Web Page:
Contact Person:
Phone:
Fax:
E-Mail Address:
Federal Tax ID No.:
Please give a brief description of your products, supplies, services, etc.

Is your customer business base primarily
GovernmentCommercial

Percent of Business
Government
Commercial
In what geographic area do you do business or prefer to do business?
Are you a holder of any GSA Schedules or other government contracts? Please list:

Business Classification
Please identify the business classifications for which you qualify by marking the appropriate boxes below:
Small BusinessMiniority-Owned
Woman-OwnedVeteran Owned
Service-Disabled Vet. OwnedHUB Zone
If your firm qualifies for as a Small Disadvantaged, Minority-Owned or Woman-Owned Business as defined by FAR 52.219, please designate your classification by marking the box for at least one of the categories shown below:
Asian-Pacific AmericanAsian-Indian American
African AmericanNative American
Alaskan Native AmericanHispanic American
Handicapped/Disabled8(a) Certified Business
Company Classification
A CorporationA Partnership
A Sole ProprietorshipA Joint Venture
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