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Supplier Application

Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Email
Company Phone Number
Company Type
- Magnets
- Magnet Wire
- Cable/Wire
- Machined Parts
- Bobbins
- Other
Other company type:
Material or service to be provided to Smith Systems, Inc.:
- Supplier proprietary design
- Sub-contracted service
- Commercial hardware
- Other
Other material or service:
Company Details
President
First Last
Sales Rep
First Last
Quality Manager
First Last
Additional contact?
- Yes, I want to provide another contact name.
Additional Contact Name
First Last
Additional Contact Position
Total Number of Employees
What percentage of your business is to the railway sector?
Company Quality Systems
This company's quality system is designed to:
Standard Date Registration #

Please include ISO9001 date and registration number before any others.
ISO 9000 Readiness
- Registered or planned
- Capable with improvement
- Foundation in place
- Major effort required
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Standard	Date	Registration #