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Registration
How Do You Register?

It's simple. Enter your information into the Supplier Profile form below. When you have completed the form, we will send an electronic receipt acknowledging your application.

Next, email a copy of your minority/women business certification to this address:

or mail to:

Supplier Diversity Program
Tyson Foods, Inc.
P.O. Box 2020
Springdale, AR 72765
CP351

We will review your application and follow up with you when we have an opportunity that fits your business.
Supplier Profile
Fields marked with an * are required.

Company Information
Company Name:*
Company Type:*
Which of the following best describes your company?*
Street Address:*
City:*
State:* Postal Code:*
Telephone Number:* Fax Number:*
E-mail Address:*
Web Site Address:
Contact Name:*
Federal Tax ID #: Example: 12-1234567
Dun & Bradstreet #: Example: 12-123-1234


Business Ownership
(Check all that apply.)*
African American


Business Classification
(Check all that apply.)*


List of Products and/or Services*



Additional Company Information
Standard Industry Code(s) (SIC):*  
Is your company EDI ready?
Is your company credit card (payment) ready?
Has your business been certified by a third party organization?*
If so, which organization? (Check all that apply.)*

National Minority Supplier Development Council (NMSDC) or its affiliate*
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

Women's Business Enterprise National Council (WBENC) or its affiliate*
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

Small Business Administration or its approved certification organization*
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

State Government
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

Municipal Government
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

Local Purchasing Councils
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

Self Certification
Certification No.: 
 Exp. Date (MM/DD/YYYY): 

Other:

When contract mandates, can your company provide the following safety and insurance information?
Does your company have a safety program?
OSHA Total Recordable Rate (TRR)
for safety incidents for the past three years?
Workers Compensation Experience Modification Rate (EMR) for the past three years?
Commercial general and automobile liability insurance with limits of 2mm or greater?


Where did you learn about Tyson Foods, Inc. Supplier Diversity Program? (Check all that apply.)
Expo Women Council
Minority Council Other:


Please identify the geographical area served (Check all that apply.)*




Annual Sales (past 3 years):*
$ Year 1 (most recent complete fiscal year)
$ Year 2
$ Year 3
Number of Employees:*
Number of Minority Employees:*
Year Company Established:*


Major Customers:*
Customer Name
Contact Name
Phone Number


Are you an existing Tyson Foods, Inc. Supplier?*
If yes, please indicate which business units or organization of Tyson Foods you have conducted business with in the last 24 months. Also list the product/service and buyer/contact name(s).*
Business Unit/Organization
Product/Service
Buyer/Contact Name

   

TSN (Common Stock)
  Exchange NYSE (US Dollar)  
  Price $25.26  
  Change
0.50
 
  Volume 6,154,280  
 
  Data as of 05/21/2013 @ 04:00 PM ET Minimum 20 minute delay
 
 

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