Buyer Participation Form

If you are a Small Business, please STOP! Small Business registration will commence on April 1 and utilizes a different form.

Please complete the 5 easy steps and then click on the SUBMIT button below. If you have any questions about this form please contact Contina Young at 216-432-6920.
* Indicates required fields

STEP 1 - Event and Participating Buyer Information
Buyer Info:
* First Name: * Last Name:
* Organization Name:
* Title:
Division/Department:
* Business Address (Street):
* City: * State: * Zip: -
* Phone: - - Fax: - -
* E-mail:
Web Address:
* Times available to meet with small business:
Full Schedule : Wednesday 5/4/2011 and Thursday 5/5/2011
I am only available on Wednesday 5/4/2011
I am only available on Thursday 5/5/2011
Other : I will NOT be available for certain appointments. Please call me regarding the times.


STEP 2 - Additional Buyer Participants
Will you have additional buyers from your organization participating at the matchmaking event?   Yes   No
If so, please provide the name, email, phone number and availability for buyers below:
First Name:  Last Name:
Organization Name:
Phone:  - -
E-mail:
Times available to meet with small business:
Full Schedule : Wednesday 5/4/2011 and Thursday 5/5/2011
Only available on Wednesday 5/4/2011
Only available on Thursday 5/5/2011
Other : Will NOT be available for certain appointments. Please call me regarding the times.
Will this buyer be meeting with a unique set of suppliers (separate table)?yesno


First Name:  Last Name:
Organization Name:
Phone:  - -
E-mail:
Times available to meet with small business:
Full Schedule : Wednesday 5/4/2011 and Thursday 5/5/2011
Only available on Wednesday 5/4/2011
Only available on Thursday 5/5/2011
Other : Will NOT be available for certain appointments. Please call me regarding the times.
Will this buyer be meeting with a unique set of suppliers (separate table)?yesno


First Name:  Last Name:
Organization Name:
Phone:  - -
E-mail:
Times available to meet with small business:
Full Schedule : Wednesday 5/4/2011 and Thursday 5/5/2011
Only available on Wednesday 5/4/2011
Only available on Thursday 5/5/2011
Other : Will NOT be available for certain appointments. Please call me regarding the times.
Will this buyer be meeting with a unique set of suppliers (separate table)?yesno


First Name:  Last Name:
Organization Name:
Phone:  - -
E-mail:
Times available to meet with small business:
Full Schedule : Wednesday 5/4/2011 and Thursday 5/5/2011
Only available on Wednesday 5/4/2011
Only available on Thursday 5/5/2011
Other : Will NOT be available for certain appointments. Please call me regarding the times.
Will this buyer be meeting with a unique set of suppliers (separate table)?yesno
Post-event a list of buyer contact information is provided to suppliers who attend.
What amount of your contact information do you want the small businesses to have?
All information as supplied above
All information except email
Other  


STEP 3 - Contract Information
How many contract awards will be sourced at the matchmaking event?     
Contract Description:
Product/Service:
Contract Amount: $
Projected Award Date:

Contract Description:
Product/Service:
Contract Amount: $
Projected Award Date:

Contract Description:
Product/Service:
Contract Amount: $
Projected Award Date:


STEP 4 - Logistical Information
Please list each unique attending buyer(s) name(s) (including your own) below and indicate their unique buying need(s). If multiple buyers plan to attend, please complete as follows:
  • Multiple buyers with the same buying needs (i.e. the buyers plan to sit at the same table and meet with the same set of suppliers): Type all names in one block
  • Multiple buyers with differing buying needs (i.e. the buyers plan to sit at different tables and meet with a different set of suppliers): Type each name in a separate block.
    • * Buyer Name(s) * NAICS * Description of Buying Need * Annual Buying Level


    STEP 5 - Follow-up Availability

    Please look for an email with your login and password. If you already have an account from a previous event, the information will remain the same.


    Please indicate the best days and times you can be contacted with further instructions:


     

    This U.S. Small Business Administration (SBA) Cooperative Agreement is partially funded by the SBA.
    SBA's funding is not an endorsement of any products, opinions or services.
    All SBA funded programs are extended to the public on a non-discriminatory basis.