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Corporate Contact Form

At Raynard Jackson & Associates, Inc., we are committed to gaining access to decision makers for our clients .  I have been asked by several prominent political leaders to bring them 15 top small and minority businesses. They will then personally call some of their closest corporate CEO friends from several Fortune 50 companies and ask them to meet with my firm and find ways to do business with my clients.

In order to select these 15 companies, we are asking that you please fill out the form below so we can assess each firms capabilities. All information will be held in strictest confidence. The 15 companies will be notified by February 17th. 

We look forward to adding you to our client list and having a very prosperous and fruitful long-term relationship. 


 Contact Information
 
Your Name:
Your Title:
Company Name:
Type of Business:
Phone Number:
Fax Number:
Cell Phone Number:
Email Address:
Company Web site:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:

  Company Information:
 
# of Employees:
Annual Revenue:
Years in Business:
Year Started
Brief statement of  core competencies:
List ALL relevant NAICS Codes: (Note: Separate NAICS Codes with a comma)
List all Contracting Vehicles:
List all Relevant Certifications:
 (security clearances, technical, governmental, etc.)
Projects: List and briefly describe 2 projects from 2001 & 2002
(list agency/corporation, scope of work, and total revenue billed)
2001 Projects:
2002 Projects:
References: List 3 government and 3 corporate references
Notes:

 

 

1. Please mail copies of 2000 & 2001 corporate tax returns
2. Please mail 2001 audited financial statements.

Mail to:

Raynard Jackson & Associates, Inc.
P.O. Box 2404
Washington, DC 20013

 

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