Section Pages:

Procurement Business Survey

* Denotes Required Field

Supplier Information

(Please fill this form out completely.)

* Company Name Doing Business As (if applicable.) * Year Established * Street Address * City * State/Province * ZIP/Postal Code * Contact Name * Title * E-mail Address * Telephone Number * Fax Number * Owner's Name * Title

* Type of Business: (check all that apply.)

Direct Manufacturer/Fabricator Distributor or Agent Specialized Services Provider Consulting Services

* Publicly or privately held?

Public Private

* Average Annual Revenue, split by major line of business, if appropiate:

* Have you provided services as a subcontractor to Kelly in the past two (2) years?

Yes No

If yes, please describe below

* Do you use temporary services in your business?

Yes No

If yes, please identify the company you are currently working with

* Can you provide proof of certification?

Yes No

If yes, mail, fax, or e-mail proof of certification to Kelly Services, Inc.

Mail to: Kelly Services, Inc.,
Purchasing Department, 999 W. Big Beaver, Troy, MI 48084
Fax to: 248-244-5535 E-mail to: purchasing@kellyservices.com