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Partnership for Small Business, Prime, or Subcontracting Opportunities

*required information (if item does not apply, enter none or n/a)...

*Is your company is currently partnered with Catapult Consultants: Yes   No
   
  Company Information...
*Name: 
*Address: 
 
*City: 
*State: 
*Zip Code: 
*Web Site: 
*Phone Number: 
Fax Number: 
   
  *Your Company is a: 
  Small Business
  Large Business
  Minority Institution
  Historically Black College / University
  None of the Above
   
  *Small Business Categories (check all that apply)...
  8(a)
  Alaskan Native Corporation
  Historic Black College or University
  HUB-zone Small Business (forward SBA certification letter)
  Minority Institution
  Minority Business Enterprise
  Self-Certified Small Business (no SBA certification)
  Small Disadvantaged Business (no SBA certification)
  Certified Small Disadvantaged Business (certification required)
  Service Disabled Veteran-owned Small Business
  Veteran-owned Small Business
  Woman-owned Small Business
   
  Company Details...
*Ownership:  Foreign Owned 100% U.S. Owned  
*Owner's Name(s): 
*Year Funded: 
*DUNS Number: 
*NAICS Code(s): 
*No. F/T Employees: 
*Technical Capabilities: 
*Geographical Experience: 
*Key Clients Served: 
   
  Opportunity Details...
*Status:  Current Requirement   Future Opportunity
*Customer: 
*Solicitation Number: 
*NAICS Code: 
RFP Due Date: 
Desired Role:  Prime   Sub to Catapult Consultants
   
  With respect to a specific opportunity, are you
currently partnered with any other company?
Yes   No
   
  Are you seeking exclusivity in terms of a
partnership with Catapult Consultants?
Yes   No
   
  How did you hear about Catapult Consultants?
   
  Point of Contact (POC)...
*Title: 
*Full Name: 
*Email Address: 
*Phone Number: 
Fax Number: 
   
Certification...
The undernamed certifies that the above named company maintains a business classification as indicated above and that such classification is in accordance with all regulatory requirements related thereto.

Furthermore, it is understood and agreed that misrepresentation of the business classification is subject to penalties as prescribed in FAR 52.219.1.
   
*Certifying Official: 
   
 
Catapult Consultants, LLC, 2300 Clarendon Blvd., Suite 1005, Arlington, VA 22201
Phone: 703.849.0960 | Fax: 703.852.2843 | Email: info@catapultconsultants.com
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