Supplier Diversity Questionnaire and Contact Information

Business Ownership Classification

Service Area

Products and Services That You Offer

Quality Status/Certification

Certification Information

Is your company certified?

If yes, please answer the following questions.

A) Has your company been certified by any regional NMSDC purchasing council? If so, please list.

B) Has your company been certified by the Small Business Administration? If so, please list.

C) Other agencies that have certified your firm as a minority, women, or disadvantaged business enterprise.

Key Customers That You Do Regular Business With

Are you currently a supplier to CommScope?
Do you have electronic capabilities?
Acknowledgement of Consent