Client Data FormΔ Company NameUniversal Entity Identifier (UEI)Taxpayor ID (TIN)CAGE CodeAs listed in your SAM recordFirst NameLast NamePrimary Contact EmailMust be a good emailCompany AddressAddress Line 1Address Line 2CityStateZip CodeWeb AddressDo you have an alternate contact? Yes NoFirst NameLast NameAddressAddress Line 1Address Line 2CityStateZip CodeBusiness TypeAs listed in your SAM record- Select -Small BusinessOther Small BusinessVeteran Owned BusinessService Disabled Veteran OwnedNative American BusinessWoman OwnedMinority-Owned Business Hispanic American OwnedBusiness SizeAs listed in your SAM record- Select -Small BusinessLarge BusinessVeteran Owned Yes NoCommercial Business Yes NoWoman Owned Yes NoHUBZone Yes NoFiscal Year Start DateYour actual fiscal year startTotal Commercial SalesMost recent yearFiscal Year End DateSecret, use one year plus one day to avoid errors. GSA funny math.Estimated Sales to the GovernmentUse 30% of Commercial Sales. This is used for financial review and higher amounts require additional review by GSA finance. Will Dealers Participate? Yes NoProducts Trade Agreement Compliant? Yes NoWill You Participate in Disaster Recovery? Yes NoAre You a Joint Venture? Yes NoWill You Offer Overseas Coverage? Yes NoDo You Have Any Deviation In Sales Policies? Yes NoIs GSA Getting The Best Discount? Yes NoDo You Maintain Product Service Points? Yes NoSave & ResumeSubmit Form
