Supplier Diversity

Submit Your Profile
Food Lion invites you to submit preliminary information on your business capabilities. Submission of this form does not constitute approval of your company as a supplier.

* Fields or sections marked with an asterisk (*) are required.
*Company Name:
*Telephone:
Fax:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Contact Person:
*Title:
*Email Address:



Please furnish the following information about your firm:

*Federal Tax ID:
*Primary Type of Business:
Other (please specify):
*Legal Structure:
Other (please specify):
*Geographic Coverage:
*Number of Years in Business:
*Number of Employees:



*Please indicate whether your company is a woman- or minority-owned business:

Minority-Owned Business
A business at least 51% of which is owned (or in the case of publicly owned businesses, at least 51% of the stock of which is owned) by one or more minority individuals and whose management and daily operations are controlled by such individuals.
 



(American Indian, Eskimo, Aleut)

Non-Minority Women-Owned Business
A business that is at least 51% owned, controlled and managed by non-minority women or woman.



*Please indicate your certification status:

Certified by an authorized agency.
  Agency:

I herewith self-certify my status as a minority- or women-owned company.



*Please supply the following reference information:

Prior Business with Food Lion
Have you ever done business with Food Lion?
  If yes, please indicate the year and your Food Lion Contact.
  Year:    Contact:

Additional Comments



*Please tell us about yourself:

I am the Contact person listed above.

If you are not the Contact person listed above, please complete the following:

Your Name:
Email Address:
Telephone:



*Please tell us how you found out about this program:

Contacted Food Lion myself
--or--
Trade Show/Conference:
Magazine:
Newspaper:
Web Site:
Company:
Other: