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Company Info. Required
Regional Settings Required
Categories Optional
Top Customers Optional
Contact Info. Required
Order From Address Optional
Bus. Classification Optional
Attributes Optional
Attachments Optional

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Company Information

Fill in your information pertaining to your company.

Company Name Required Field
 Abbreviated Name
DUNS ID
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Web Site URL
 Ticker Symbol
  
Description

Regional Settings

Fill in your information pertaining to your regional settings.

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What business would you like to be considered for with COTT and why?

Categories Supplied by Company

Check off all the categories relevant to your company.

Information Technology
Marketing
Human Resources 		Travel Related
MRO
Raw Materials 		Print
Packaging
Professional Services
Please list the number and location of your manufacturing facilities as well as the location of your Headquarters.
Have you done business with COTT before?
Yes No 		What are your annual sales?

Who are your top five (5) customers?

Indicate the name and address of your top 5 customers in the box below.

Contact Information

First Name Required Field
 Last Name Required Field
 Title
Email Required Field
 Phone
  

Order From Address

Let us know how to contact you.

Address 1
 Address 2
 Address 3
City
 State/Province
 Postal/Zip Code
County
 Region
 Country
Main Phone
 Main Fax
 How would you like to be contacted?

Business Classification

How would you classify your business?

Small Business
Small Disadvantaged Business
Minority-Owned Business 		8(a) Firm
HUBZone Business
Non Profit 		Woman-Owned Business
Veteran Owned
Disabled Vet

Attributes

EDI
Electronic Commerce Capable
ISO 9000
ISO 14000
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Attachments

Attach up to 5 files to document applicable business certifications or other relevant information.

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