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Partnering with Sam >New Business Form
New Business Information Request Form

SAM, Inc. is always looking for new business relationships in every sector. The first step we ask all of our partners to take is to provide us with some basic information about your company's services and information. The following form should be submitted by both small and large companies looking to work with SAM, Inc. The information you submit will be retained on file, and any new updates can be completed by resubmitting a new form.

NOTE: While we request all business partners to fill out this form we do not use it as a contact vehicle. For immediate business development issues we request that you contact us directly by phone or email. In addition all information is subject to our privacy policy. SAM, Inc does not sell, solicit, or otherwise grant any information to outside parties.


Contact Information
Company Name: (required)
Street Address: (required)
City: (required)

State/Province: (required)
Postal Code: (required)
Country: (required)
Website:
Primary POC: (required)
POC Title:
POC Email: (required)
POC Phone: (required)
POC Fax:
Business Information
Type of Business: (required)

   To select more than one, hold ctrl
Experience: (required)
NAICS Codes:
Annual Gross Revenue:
Number of Employees:
Year Founded:
Levels of Facility Clearance: (required)
Previously Teamed with SAM, Inc.?       yes no
If 8(a), enter Graduation Date:
(mm/dd/yyyy)
If HUBZone, enter Certification Date:
(mm/dd/yyyy)
If Small Disadvantaged, enter Exit Date:
(mm/dd/yyyy)
Brief Description of Company: (required)
Please limit to under 300 words
Note: Click submit only once. You will not receive any confirmation, however an email will be automatically
generated from your default email client. Most email clients will ask you for confirmation before allowing
a message to be sent directly from a website. Click here to return to the Partnering with Sam home page.


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