CONTRACT and PROCUREMENT TRAINING REGISTRATION FORM

OWNER/PRINCIPAL INFORMATION

Owner/Principal's First Name*

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Owner/Principal's Last Name *

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Owner/Principal's Title*

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Secondary Point of Contact Person Information

Owner/Principal's Gender*

Female

Male

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Owner/Principal's Ethnicity*

Is the Owner/Principal a Veteran?*

Yes

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Is the Owner/Principal a Disabled Veteran?*

Yes

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Primary E-mail Address*

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Primary Area Code and Phone Number*

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Mobile Phone Number

Fax Number

TMM|BRIDGES Program Information

Do you have your Personal Federal Tax Returns for the Current Year? *

Yes

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Do you have the Business Federal Tax Returns for the Current Tax Year? *

Yes

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If you Do Not Have Personal or Business Federal Taxes for the Current Tax Year; Please Explain Why?*

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Do you have a completed business plan?*

Yes

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IMPORTANT DOCUMENT REMINDER! Please forward the following documents by e-mail to info@tmminfo.biz, or fax to 323.297.2887: 1) Current Year Federal Business Tax Returns (Provide filing extension if return was not filed)2) Current Business License/Permit3) Current State of Ca. Contractors License (If the firm is a Licensed Contractor)4) MBE, DBE, WBE, SBE, 8(a), or HUB Zone Certification Documents (If the firm is currently certified)5) Current Business and Marketing Plan documents