Sourcing Registration Form 
Please fill in as much information as possible so we can find the best fit for your business. We will contact you as soon as possible after receiving the form. Please use notes section to fill in any details you think may be appropriate and all info with asterik is required. Thank you kindly. * NOTE * Due to funding issues we have been forced to start charging for certain services including sourcing consultation. Sourcing Consultation is billed once at $150.00 which includes the initial consultation appointment, a list of Qualified Sample Shops & Production Facilities for each category of merchandise you’re manufacturing and a follow up appointment to fine tune the sourcing list we gave you. As always, we welcome any and all follow up questions in regards to your production issues. We look forward to working with you and hope you understand the constraints we are under. Thank you for your understanding. Sincerely, Andrew Ward award@gidc.org Please note - our forms are not compatible with Apple Safari Browser. Apple users please utilize Mozilla Firefox Browser.
Last Name *
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First Name *
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Client Company *
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Company Type *
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Job Title
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Business Phone *
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E-mail Address *
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Mobile Phone
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Fax Number
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Address *
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City *
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State/Province *
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ZIP/Postal Code *
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Country/Region
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Web Page
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Notes *
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Products *
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YD Seminar Attended
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YD Seminar Date
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Start Up
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Business Plan
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Annual Sales
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Currently Producing
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# of Garment Styles
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# of Pieces per Style
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Price Points
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Min Owned
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Women Owned
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# Employed
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Co Desc
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Title *
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