CPKC Supplier Diversity Programs

Legal company name

Doing business as

Street address

Post office box

City

Province/State

Country

Postal/zip code

Website

Contact name

Position/title

Company phone

*Please include area or country code

Mobile

*Please include area or country code

Ownership model

Name of owner(s)

Listed in CCIB Supply Change™ Yes No

Certificate by Canadian Aboriginal and Minority Supplier Council Yes No

If yes, please provide the certificate number

Certificate by National Minority Supplier Development Council or an affiliate Yes No

Registered on Central Contractor Registry Database Yes No

If yes, please provide the certificate number

Other certification

Other certification number

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