Qualification Form
  • Supplier Diversity Acknowledgment:
    Please Indicate any diversity qualifications for the entity that would perform services or supply materials to GMR Marketing. Plase note ownership means: 51% owned, controlled, and operated; wholly owned subsidaries, affiliates, or divisions are owned by the parent company.
    *Qualify diversity Classification: (Plase Click/Select All That Apply - If Certified include Cercificate)



    If your company's ownership classification has been certified by any thrid-party agency (i.e., SBA, NMSDC, WBENC, State, Municipality, etc.), please list agency and certification date.
  • I certify that I am a duly authorized representative of the company and that the information contained herein is accurate.
  • Signature
  • (Signature must be checked.)