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Supplier Questionnaire
Identification and Contact Information
Company Name
Address 1
Address 2
City
State
Postal Code (Zip)
Country
Company Website URL
Company SIC Code   (Standard Industrial Classification (SIC) System Search)
Primary Telephone Number
Primary Fax Number
Contact Name
Contact Email Address
Contact Title
Contact Telephone Number
Contact Mobile (Cell) Phone Number
Contact Fax Number

BILLING ADDRESS (if different from above)

Address 1
City
State
Postal Code (Zip)
Country

 

IRS W9 INFORMATION

Entity Type (Select One)
If other, enter type here
With the tax classification of Disregarded Entity Corporation Partnership.
Yes No Are you exempt from backup withholding?
Taxpayer Identification Number
Name of Individual Certifying
   Date
 
OPERATIONS INFORMATION
What product or service best fits your classification (Select one only)
PART MANUFACTURERS MATERIAL SUPPLIERS DISTRIBUTORS TEST \ CALIBRATION LABS
*List any special processes your organization can perform about which you would like Flexial to be aware (One per box).
 
Number of Employees (complete for each section)
# of Employees (All)
# Sales \ Marketing
# Engineering
# Quality Assurance
# Manufacturing
           
Facility and Financial
Sq. Feet (ft2) or Sq. M. (m2) Annual Sales ($)
           
QUALITY & DELIVERY
QUALITY
DELIVERY
What is your defect rate in Parts Per Million for customer defects, rejects and returns? (Answer through current year.) What is your delivery performance in terms of Percent (%) on-time delivery for each year? (Answer through current year.)
2000
2000
2001
2001
2002
2002
2003
2003
2004
2004
2005
2005
2006
2006
2007
2007
2008
2008
2009
2009
2010
2010
2011
2011

Check HERE if your company does not know its defects \ returns performance.

Check HERE if your company does not know its Delivery performance.
       
Quality Certifications (Check all that apply):
ISO9000:1994
ISO9001:1994
ISO9000:2000
ISO9001:2000
AS9000:1998
AS9100:2000
EN9100
Others
  List Others
 
If your company is ISO9000:2000 or AS9100:2000 registered, is your registrar Accredited by (Check all that apply):
ANAB - ANSI-ASQ National Accreditation Board
SCC (Standards Council of Canada)
JAB (Japanese Accreditation Board)
RVA (Raad Voor Accreditatie)
UKAS (United Kingdom Accreditation Service)
OTHER
 - OR -
My Registrar is Not Accredited
 
COMMUNICATIONS
Flexial prefers all suppliers to utilize Internet and Email technology for primary communication. Flexial prefers to issue Purchase Orders, drawings, specifications, and procedures via Email. Does your company have the standard and necessary infrastructure to send and receive documents and text through the internet?
Yes
No
 
CONTRACT REVIEW

We confirm that if selected as a supplier to Flexial Corporation, we agree to be bound by the Content, Terms, and Conditions of any Purchase Order that we receive and accept, including all Design, Quality, Delivery, and Specification requirements. This acceptance may be required to supply products, materials, or services to Flexial Corporation.

The supplier understands that the contents of any purchase order issued by Flexial Corporation is issued conditionally and, except for rights expressly granted to the United States government, neither receipt or possession thereof confers or transfers any right in, or license to use the subject matter or any design or technical information, nor any right to reproduce any contents of the purchase order except for manufacture by suppliers for Flexial Corporation, and for manufacture under Flexial Corporation's written permission.

Agree
Not Agree
 
If you have any questions about this form, please contact us and we'll get your issue resolved as quickly as possible.



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Flexial Corporation is a member of the BOA Group Flexial Corporation is a member of the BOA Group

Flexial Corporation is a member of the Stutensee, Germany based BOA Group, and is the 2nd largest broad spectrum manufacturer of welded metal bellows and related products in the United States.

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Welded Bellows
High Pressure Accumulators
Hoses
Sensors, Actuators, and Seals
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Customer Satisfaction
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Media

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