CCR REGISTRATION DATA SHEET



SAM REGISTRATION DATA SHEETData Universal Numbering System (DUNS) NumberCommercial and Government Entity (CAGE) CodeLegal Business Name (DBA)Employer Identification Number (EIN)Organization’s Homepage URLOrganization’s Physical Address (must have the US Zip Code + anization’s Start DateFiscal Year End DateNumber of EmployeesAnnual Receipts for LocationNumber of Employees for all AffiliatesAnnual Receipts for all AffiliatesCompany Security LevelHighest Employee Security LevelInformation Opt-OutType of Relationship with Government (i.e., grants, contracts or both)Type of Organization (governmental, business or organization) If you choose governmental you will have to list (i.e. Tribal Government or Foreign Government) If you choose business or organization you will have to list type and profit structure (i.e. non profit organization)Socio-Economic Categories (woman owned)North American Industry Classification System (NAICS) Codes.Product Service Codes – OptionalFederal Supply Classification Codes – OptionalName of bank you use for EFT/bankingABA Routing Number (This is the nine digit routing transit number of your bank)Account Number, Type and Lockbox NumberAutomated Clearing House (ACH) coordinator at your bankRemittance information. The address where you would like a paper check mailed if an EFT transfer does not work.Accounts Receivable. Contact information for the accounts receivable person at your organization including the e-mail addressCredit Card Information (yes or no)CCR Primary Point of Contact (POC) List the name of the person that acknowledges that the information provided in the registration is current, accurate and complete. Must have e-mail R POC Alternative. List another person should the Primary POC not be available. Must have e-mail ernment Business POC. List the person responsible for marketing and sales with the federal government. Must have e-mail address.Electronic Business POC. List the person responsible for authorizing individual personnel access into federal government electronic business systems. Must have e-mail address.Marketing Partner ID Number (MPIN). This is a self-created access code that will be shared with authorized partner applications. The MPIN must contain nine characters, at least one alpha and one numeric character each. It should not contain spaces or special characters. Must have e-mail address. ................
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