IMS Small Business Partner Program Registration Form

Small Business Partner Program Registration

Please register your company with IMS for consideration on future projects. We look forward to working with you.
Step 1: General Information
Your Company's name
Company Website
Your Name

First NameLast Name
Your Title
Your Primary Email
example@example.com
Your Company EIN

Step 2: Company Information
Headquartered in the US:

YesNo
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Secondary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
NAICS Code (primary):
NAICS Code (secondary):
CAGE Code:
Number of Employees:

Step 3: Contact Details
Contact

First NameLast Name
Title
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodeFax Number

Step 5: Products & Services
Products & Services
Certifications and Industry Rankings
Series:
Are you currently debarred from working on Federal, State, or Local Contracts?

YesNo
Are you bondable?

YesNo
Do you carry workers compensation?

YesNo
Have you ever filed for bankruptcy?

YesNo

Step 6: Market Overview
History with IMS:
IMS Point of Contact:
Market Focus Description:
Agency with Mentor-Protégé Agreement:
Point of Contact:
Reason for Pursuing Relationship with IMS:
Competitors (Top 3):
Competitor 1
Competitor 2
Competitor 3
Clients:
Accept Government Credit Cards?:

YesNo
Existing/Past Business with Government Agency or Commercial Entity:
Agency
Contract Name
Contract #
Contract Value
Start Date
End Date
Indentify GWAC/GSA Schedule/Vehicle
References Include