GCAC Client Application

Company Name:
Contact Person: Title:
Phone Number: Fax Number:
E-mail Address:
Mailing Address:
City: State: Zip:
County: Labor Surplus Area (LSA): Yes No Not Sure
Business Size: Large: Small: Woman-Owned: Minority-Owned:
Veteran-Owned: Service Disabled Veteran-Owned:
Business Type:
 Manufacturer: Service: Regular Dealer: Construction Concern:
Surplus Dealer: R&D: Engineering: Other (Specify):
Located in Hubzone: Yes No Don't Know
Briefly Describe your products/ services:
I understand that by becoming a GCAC client I may, at no cost, receive specifications and standards data, hard copy prints from aperture cards, access to Federal Acquisition Regulations (FAR's) and Defense Federal Acquisitions Regulations (DFAR's), historical cost data and parts suppliers information, a quarterly electronic commerce newsletter and notifications of upcoming trade fairs and seminars.

I also understand that, by making an appointment at any GCAC office, I can receive assistance in filing applications for placement on purchasing agencies bidders' lists and obtain bid opportunities screened from the Commerce Business Daily, the Small Purchase Match Program, the Pennsylvania Bulletin, International Trade Leads and other sources.

I agree to complete the monthly GCAC contract report sheet for contracts or subcontracts received a s a result of any assistance or information provided by GCAC.
Please sign: Name
Date: