Hendrickson - Supplier Application Form

This application form should be used for production material suppliers only. Please do not submit for MRO or other services.

General Information

*Company Name

*City

Zip Code

Parent Company Name:

Phone

*Email

*Company Ownership

*Years In Business

*Number of Salaried Employees

*Primary Currency

*Warranty Coverage

*Address

*State/Province

*Country

*Primary Contact Name

Fax

Website

*Type of Business

*Annual Sales

*Number of Hourly Employees

Additional Currencies

Public Liability Coverage

Top Three Customers

Customer Name 1

Customer Name 2

Customer Name 3

Percentage of Business Revenue (%)

Production Facility Location (That will Supply to Hendrickson)

*Address

*State/Province

*Country

Capacity Utilized (%)

*City

*Zip Code

*Shipping/Receiving Department Hours of Operation

*Labor Union (Affiliation, Local Number, Contract Expiration Date)

Geographic Locations

Other Product Categories (Specify)

Quality and Delivery

Certification 1

Certification 2

Certification 3

Certification 4

Certification 5

*On-Time Delivery to Customers (12-month Average %)

Expiration Date 1

Expiration Date 2

Expiration Date 3

Expiration Date 4

Expiration Date 5

*Non-Conformng PPM to Customers (12-month Average)

Supplier Application Form

General Information

Top Three Customers

Production Facility Location (That will Supply to Hendrickson)

Geographic Locations

Product Categories

Quality and Delivery

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