Prospective Supplier Registration

Building strong supplier relationships is important to Mesa. If you would like to be considered a supplier to Mesa for goods and/or services, please complete the information form below.

Legal Supplier Name(Required)
dba Supplier Name
(if different)
Physical Supplier Address(Required)
Street Address Address Line 2 City State ZIP Code
Supplier Telephone(Required)
Supplier Website
Technical Contact(Required)
Technical Contact Email(Required)
Financial
Tax ID#(Required)
Dun and Bradstreet #(Required)
State of Incorporation(Required)
Year of Incorporation(Required)
Revenues 3 yr avg.(Required)
Number of Employees(Required)
Do you PRIMARILY employ Union Personnel or Non-Union Personnel?(Required)
- Union Personnel
- Non-Union Personnel
- Both
Business Status (check all that apply)(Required)
*Must be 51% owned, operated, and controlled by
- Small Business as defined in 13 CFR 121 201
- Small Disadvantaged Business (self-certified)
- Blind/Handicapped/Sheltered Workshops (JWOD)
- Historically Black College/University or Minority Institution (HBCU/MI)
- Native American (American Indian, Native Alaskan, Native Hawaiian)*
- Veteran-Owned
- Service-Disabled Veteran-Owned*
- HUBZone (must be certified by SBA)
- Minority-Owned*
- Women-Owned*
- Certified 8(a)
- LGBTQ+
- Foreign-Owned Business
- Educational Facility
- Medical Facility
- Research Facility
- U.S. Based
- N/A
Products, Services, and Capabilities
What do you provide?(Required)
- Products
- Services
- Both
NAICS Code
Key Capabilities or Types of Products/Services Provided(Required)
List other types of work that you typically sub-contract to others
States in which you perform services(Required)
Choose all that apply
- Alabama
- Alaska
- American Samoa
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Guam
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Northern Mariana Islands
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Puerto Rico
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- U.S. Virgin Islands
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
- Armed Forces Americas
- Armed Forces Europe
- Armed Forces Pacific
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.