Name                                                                   Appointment

                                                                                                             
.

       Date of Assessment :                                                                                                      
       Supplier                  :                                                                                                      
       Address                  :                                                                                                      
       Telephone               :                                                                                                      
       Number of Employees :                                                                                                   

       Personnel Contacted:
       Name                                                Title

        Supplier Profile    :                                                           
        Service               :                                                           
        Major Customer   :                                                           

        How long in business? :                                           Years

  a) Each element must be fulfilled at minimum : 6 points
  b) The percentage given must exceed : 70%
.

       Total Points   :                                         Percentage   :                                       
       Recommended :                                      Not Recommended :

       Sign                                                       Date
                                                                                                                     
                                                                                                                     
                                                                                                                     
.