Buy Regional: Southwestern PA Supplier Scouting Initiative
Please provide as much information as possible regarding your supply chain needs and requirements. We will share this information with our Supplier Network, and will refer interested companies back to you.
Company Profile
Company Name:
Website URL:
Point of Contact:
First Name
Last Name
Job Title:
Email Address:
example@example.com
Phone Number:
Please enter a valid phone number.
General Information
Part/Item Name:
*
Item Description:
*
Describe the item application/end-use; provide item number if available.
NAICS Code (if known):
Type of Supplier Desired:
*
Manufacturer
Contract Manufacturer
Distributor
Other
If Other, please explain:
Reason for Request:
*
Second Source
Price
Reshore
Past Supplier No Longer Available
New Product Start-Up
Other
If Other, please explain:
Summary of Technical Specifications and Performance Requirements
Describe the Manufacturing Processes (elaborate to provide as much detail as possible):
*
Provide Dimensions/Size/Tolerances/Performance Specifications for the Item:
*
List Required Materials to Make the Product Including Component Materials:
*
Are There Applicable Certification Requirements?
*
No
Yes
If Yes, please explain:
Are There Applicable Regulations?
*
No
Yes
If Yes, please explain:
Are There Any Other Standards or Requirements?
*
No
Yes
If Yes, please explain:
Volume and Pricing
Estimated Potential Business Volume:
*
Estimated Target Price or Unit Cost (if unavailable, please explain):
*
Delivery Requirements
When Is It Needed By?
*
Describe Packaging Requirements:
*
Where Will the Item Be Shipped?
*
Additional Comments
Is There Other Information You Would Like to Include?
Supporting Documentation (Photos or Diagrams of the Item, etc.):
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