Supplier
Diversity
 

Supplier Registration Form

 
Section I. Business Information
Please complete required fields.*
Your Contact Information
Company Name * Company Web Site
Company Address Remit to Address
Street Address * Street Address *
City * City *
State * State *
Zip/Postal Code * Zip/Postal Code *
 
Contact Person * Contact Email Address *
Title * Fax Number *
Telephone *            Extension  
 
 
Section II. Business Biography
Please complete required fields.*
Business Established
Year Business Established Number of Employees Federal ID Number
D & B Number Primary SIC Code(s) Primary NAICS Code


   
Where are your branches or plant warehouses located:  
City / State Floor Space (sq. ft.)
Description of Products and/or Services

Please review Avon's commodity specialities/services and register your business capabilities and offerings.

Avon Products/Services (click to select)

To remove items from the list above, highlight the category and hit Remove from List.

Enter specific keywords describing your business speciality (up to 500 characters)

Business Type *
Broker Manufacturer Service Distributor Manufacturer's Rep
Sales Volume (past 3 years) and Year dollar volume (in $1,000's)
Enter Sales Figures as whole numbers with no punctuation.
2011 2010 2009
Geographic Service Area
International National Regional Local
Quality Control Program
Does your company have a Quality Control Program?
Yes If yes, please be specific (i.e. IS09000):
No
 
Section III. Business Ownership
Sole Proprietorship Corporation Partnership
Principal Company Owners
Name Title Percent of Ownership(%)
(number only)
(number only)
(number only)
Is your business a subsidiary of another company?
Yes If yes, name of company
No
Is your business a division of another company?
Yes If yes, name of company
No
Is your business franchised by another company?
Yes If yes, name of company
No
Are you currently doing business with Avon Products, Inc. or completed work within the last 24 months?
Yes
If yes, please list location & contact at Avon
City Contact Name
No
 
 
Section IV. Business Classification Definitions
Requirements and Definitions

The following requirements and definitions outline the different types of registered businesses Avon Products, Inc. is interested in. If you have any further questions, please contact us at supplier.diversity@avon.com.

Small Business

To qualify as small business, a business concern eligible for assistance from SBA as a small business is one that is organized for profit, with a place of business located in the United States. It must operate primarily within the United States or make a significant contribution to the U.S. economy through payment of taxes or use of American products, materials or labor. Together with its affiliates, it must meet the numerical size standards as defined in the Small Business Size Regulations, 13 CFR 121. To determine the size standard of your business, visit the Small Business Administration (SBA) homepage.

Minority Business Enterprise (MBE)

To qualify as an MBE, the firm must be a for-profit enterprise, regardless of size, physically located in the United States or its trust territories, which is owned, operated and controlled by minority group members. Ownership by minority individuals means the business is at least 51% owned by such individuals or, in the case of a publicly-owned business, at least 51% of the stock is owned by one or more such individuals. Further, those minority group members control the management and daily operations.

Minority group members are defined as:

  1. Asian-Indian - A U.S. citizen whose origins are from India, Pakistan and Bangladesh.
  2. Asian-Pacific - A U.S. citizen whose origins are from Japan, China, Taiwan, Korea, Vietnam, Laos, Cambodia, the Philippines, Samoa, Guam, the U.S. Trust Territories of the Pacific or the Northern Marianas.
  3. African-American - A U.S. citizen having origins in any of the Black racial groups of Africa.
  4. Hispanic - A U.S. citizen of true-born Hispanic heritage, from any of the Spanish-speaking areas of Latin America or the following regions: Mexico, Central America, South America and the Caribbean Basin only.
  5. Native-American - A person who is an American Indian, Eskimo, Aleut or Native Hawaiian, and regarded as such by the community of which the person claims to be a part. Native Americans must be documented members of a North American tribe, band or otherwise organized group of native people who are indigenous to the continental United States and proof can be provided through a Native American Blood Degree Certificate (i.e., tribal registry letter, tribal roll register number).

To certify your business as an MBE, visit the National Minority Supplier Development Council home page.

Women Business Enterprise (WBE)

To qualify as an WBE, the firm must be a for-profit enterprise, regardless of size, physically located in the United States or its trust territories, which is owned, operated and controlled by a woman or women members. Ownership by female individuals means the business is at least 51% owned by such individuals or, in the case of a publicly-owned business, at least 51% of the stock is owned by one or more such individuals. Further, the management and daily operations are controlled by the woman or women members.

To certify your busines as a WBE, visit the Women's Business Enterprise National Council.

Small Disadvantaged Business (SDB)

A small business concern (as defined by the SBA) is at least 51 percent owned by one or more individuals who are both socially and economically disadvantaged. This can include a publicly owned business that has at least 51 percent of its stock unconditionally owned by one or more socially and economically disadvantaged individuals and whose management and daily business is controlled by one or more such individuals.

 
Section V. Business Classification
Is your business currently certified as a minority or woman-owned business enterprise by a third party organization (i.e. NMSDC, WBENC, SBA)? *
Yes
No
       A. Please check all that apply:
        Large Business
        Small Business
       B. Minority-Owned Business
        Yes        No                
       C. Woman-Owned Business
        Yes        No
       D. Small Disadvantaged Business (must have SDB documentation from SBA)
        Yes        No
       E. Veteran-Owned
        Yes        No
       F. Service Disabled Veteran Owned
        Yes        No
       G. Handicap
        Yes        No
       H. Gay and/or Lesbian Owned
        Yes        No
If yes, what type of certification(s) does your business have?
NMSDC WBENC SDB Other
Please indicate by whom your company has been certified, and upload a copy.
The uploaded certificate must be in a .jpg, .gif, or .bmp file format. Please be sure to fill in all pertinent information requested.
Certifying Agency (1) Certification No. Expiration Date (MM/YYYY)
/
Upload Certificate
Certifying Agency (2) Certification No. Expiration Date (MM/YYYY)
/
Upload Certificate
Certifying Agency (3) Certification No. Expiration Date (MM/YYYY)
/
Upload Certificate
 
Section VI. References
Corporate Customer Contact Name Phone Number
e-Business Readiness *
Do you currently have a Web presence? Is your company procurement card ready?
Yes Yes
No No
Can you sell your products/services online? Are you Electronic Data Interchange (EDI) capable?
Yes Yes
No No
 
By choosing to submit this form, you certify that the information you have provided above is true and accurate.
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