AGL Resources - About Us - Our Business - Supplier Diversity

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Aug 28 2008 1:36PM ET

Primary Supplier Information

Company Name:

Street Address:

Second Address:

City:

State:

Zip Code:

Country:

Company Website:

Contact Person:

Title:

Phone:

Fax:

Email Address:

Business Classification

Please check all that apply:

Large	Minority-Owned	Women-Owned	Disabled-Owned
Small	Small Disadvantaged	HUBZone	Veteran-Owned

Is your company certified as one of the above classifications?

Yes

Number of Employees:
Full time:	Part time:

Total U.S. Sales:

Total sales to AGL Resources:

Year:

Total Procurement:

Total U.S. Purchases

Purchases by Category	Spend Reporting Period	Number of Suppliers/Subcontractors (Please do not double count)	Direct	Indirect
Minority-Owned	Year		$	$
Women-Owned	Year		$	$
Veteran-Owned	Year		$	$
Disabled-Owned	Year		$	$
HUBZone	Year		$	$
Small Disadvantaged	Year		$	$
Purchases by Ethnic Group	Spend Reporting Period	Number of Suppliers/Subcontractors (Please do not double count)	Direct	Indirect
American Indian/Alaska Native (AIAN)	Year		$	$
Asian	Year		$	$
Black/African American	Year		$	$
Native Hawaiian/Other Pacific Islander (NHOPI)	Year		$	$
White	Year		$	$
Hispanic/Latino	Year		$	$

By choosing to submit this application, you certify that the information you have provided is true and accurate.

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