Company Profile Form

The following information is required for any and all service providers, vendors and suppliers doing business of any kind with Knoxville Habitat for Humanity.

Company Name*
Business Types*
- Corp
- LLC
- Partnership
- S Corp
- Sole Proprietor
What are you bidding?*
Is your company:*
- Certified Minority Owned?
- Certified Woman Owned?
Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Company Phone*
Company Fax*
Contact Name*
First Last
Contact Phone*
Contact Email*
Alternate Contact Name
First Last
Alternate Contact Phone
Alternate Contact Email
Company Tax ID
If Individual: Social Security Number
Date
File*
Drop files here or
Upload a copy of the following: 1. Habitat for Humanity Comprehensive Subcontractor Agreement 2. Copy of your General Liability Insurance 3. Copy of Workers' Comp. Insurance 4. Bid Sheets
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