Business Registration

Name

Phone

Email

Business Name

Address

City

State

ZIP Code

Business Website URL

NAICS Code (list all applicable codes)

Registered in SAM.gov?

Yes, my business is registered in SAM.gov

No, my business is not registered in SAM.gov

Socioeconomic Program Status (select all that apply)

Small Business concern

Small Disadvantaged Business concern

Self-Certified Small Disadvantaged Business

Self-Certified Women-Owned Small Business (WOSB)

Economically Disadvantaged Women-Owned Small Business (EDWOSB) concern

Historically Black Colleges & Universities (HBCU)

Minority Institutions of Higher Learning

HUBZone Small Business certified by SBA

Self-Certified Veteran-Owned Small Business

Service-Disabled Veteran-Owned Small Business concern

Alaska Native Corporation (ANC) and Native American Small Business

Alaska Native Corporation (ANC) and Native American Large Business

Large Business

Foreign Business

Other (specify)

Socicoeconomic Status Selected

Products or Services (describe or upload)

File Upload

Choose a file or drop it here

PDF format preferred, MS Word acceptable. File size must not exceed 10 MB.

Please select a Socioeconomic Program Status.

416 East Innovation Avenue, North Logan, UT 84341
(435) 713-3400 info@sdl.usu.edu