Vendor Intake - Z Modular

"*" indicates required fields

Company information

Legal company name*

Company headquarters address*

Address Line 2

City*

State/Province*

ZIP / Postal Code*

Plant address is different than headquarters*

Plant address*

Plant address Line 2

City*

State/Province*

Zip / Postal Code*

Website*

Primary business type*

Manufacturer

Distributor

Service provider

Other

Parent company (if applicable)

Annual revenue*

Number of employees*

Sales contact information

First Name*

Last name*

Email*

Phone*

Product / service offering

Describe the products / services you propose to supply*

Core industries served*

Hospitality

Multi-family residential

Single family residential

Office

Country of origin for your primary products*

Upload catalog, line card or capabilities document

Max. file size: 100 MB.