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  Company Headquarters Information    
Fields in bold are required.
 Legal Company Name:
 Parent Company:
 Street 1:
 Street 2:
 City:
 State / Province:
 Postal Code:
 Country:
 Phone Number:
 Web Site Address (URL):
 Legal Structure:
 Annual Revenue:
 Year Established:
 Number of Full-time & Part-time Employees:
 Federal ID Number (SSN if Sole Proprietorship):
 DUN and Bradstreet Number: Search or Request a D-U-N-S number
 Are you a current supplier to Best Buy?:
 Best Buy Contact Name:
 Position or Title:
 Department:
 Phone Number:
  Primary Contact Information    
Fields in bold are required.
Check here if mailing address is the same as the Headquarters address.
 
 First Name:
 Last Name:
 Position:
 Street 1:
 Street 2:
 City:
 State / Province:
 Postal Code:
 Country:
 Phone Number:
 Fax Number:
 Email Address:
  Products and Services    
Fields in bold are required.
 Category:    Category Look Up
 Description of Products and Services:
 Geographical Service Area:   Use CTRL Key for multiple selections
 e-Business Readiness:
  Business Certification    
Fields in bold are required.
 Minority, Women, Disadvantaged Business Enterprise (MWDBE)?:
 Regional Council Name:
 Regional Council Certification Expiration Date (MM/DD/YYYY):
 State Certified?:
 State Name:
 State Certification Expiration Date (MM/DD/YYYY):
 Is your company Minority Owned?:
 Is your company a Women-Owned Business Enterprise?:
 Is your company a Small Business?:
  
 

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