Delhaize America invites you to submit preliminary information on your business capabilities. Submission of this form does not constitute approval of your company as a supplier.
*Fields or sections marked with an asterisk (*) are required.
Please furnish the following information about your firm:
A Diverse Business Enterprise is a business that is at least 51% owned, operated and controlled by one or more individuals that are a member or members of one or more of the following groups:
Are you a Diverse Business Enterprise?:
If yes, check all of the following that apply.
*Please indicate your certification status:
Certified by an authorized agency
I herewith self-certify my status as a Minority, Woman, Disabled, LGBT or Veteran Owned Business.
*Please supply the following reference information:
If yes, please indicate the year and the contact's name.
*Please tell us about yourself:
I am the Contact person listed above.
If you are not the Contact person listed above, please complete the following:
*Please tell us how you found out about this program:
Contacted Delhaize America myself.
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