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Contact Information Company Name: * Contact Name:* Address:*  Telephone #:*  City, State, Zip:*  Fax #: *  Company Web Address:  Email Address:*  Company Information Are you incorporated in the United States? * yes   no If Yes, where? Are you incorporated in another country outside the U.S. ?  * yes   no If Yes, where? Does your company hold minority ownership status according to U.S. Federal guidelines?  * yes   no If Yes, indicate your minority ownership: none African American Asian American Hispanic Native American Women owned: yes   no     Peoples with Disabilities: yes   no     Number of Employees:  *     Number of offices:  *     Office Locations Indicate where you have offices. (List each City/state/Province for each entry in a given region.) United States Canada Europe Asia/Pacific Resources Indicate the types of IT resources you are able to supply. (Examples; Programming, Training, Administration, Operations, Support) Indicate your areas of expertise. (Examples; data warehousing, technical training, customer relationship management, web application development, network infrastructure, etc) Other How did you identify CTG as a company with whom you wanted to form a subcontracting partnership? (select one)   Found CTG on client's prime vendor list  Client directed me to CTG  CTG initiated contact with me          Other (if other, specify)     Have you already spoken with someone at CTG about becoming a partner? * yes  no If yes, with whom did you speak?   Are you approaching CTG to support a specific CTG client/contract? * yes  no If yes; Which client/contract:  Have you done business there before?  yes  no If yes;when? Do you currently have staff assigned with this client, or a new assignment pending?  * yes  no If yes, explain?  Additional Comments Provide any additional comments you may have. CTG Subcontractors will be required to provide the items listed below to complete the sign up process. Certificate of Incorporation or Articles of Incorporation Proof of paying taxes Certificates of Insurance The exact combination of items may vary depending client-specific contract terms.  You will receive a follow up questionnaire asking for the specific items you need to provide.

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