Supplier Qualitative Questionnaire

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With Haile Gold Mine being the largest gold mine east of the Mississippi River, it has a demand for a large amount of goods and services each year. Some of the commonly purchased goods include: industrial equipment, piping, heavy equipment supplies, personal protective equipment (PPE), motors, and pumps. Commonly purchased services include: fabrication, civil construction, heavy equipment maintenance, and light vehicle maintenance.

If you feel your business could potentially supply Haile with product, please fill out the survey below, with your estimated monthly supply capability. Once completed your submission will be emailed to Haile Gold Mine’s Senior Buyer. If they feel there is potential for both parties to undertake in business, they will contact you. All South Carolina businesses will receive a response.

Learn more about being a supplier for Haile Gold Mine with the PDF below:

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Sponsorship or Donation Request

    Company Details

    Name of Company*

    Company Address*

    Street Address

    Address Line 2

    City

    State / Province / Region

    ZIP / Postal Code

    Country

    Office Telephone Number*

    Office Email Address*

    Company's Annual Revenue (USD)*

    Name(s) of other group companies, parent company and/or subsidiaries (if applicable)

    Brief description of the goods/service you can provide

    Key Contact Person Details

    Name of Key Contact Person*

    First

    Last

    Title

    Contact Number (Direct)

    Contact Number (Mobile)

    Business Address*

    Street Address

    Address Line 2 (Mobile)

    City

    State / Province / Region

    ZIP / Postal Code

    Country

    Email Address*

    Capability & Coverage

    Please provide details on your company's capacity to provide service to the HGM Site

    What is the number of full-time and part-time employees on company's payroll

    What additional value added services does your company provide to differentiate from your competitors. (e.g. specialist technical support, inventory management, infrastructure etc.)

    Conflict of Interest

    Do you have any potential interests, relationships or clients which may or do give rise to a conflict of interest?

    Note: A conflict of interest is defined as an individual / organization having multiple interests (e.g. investment in the company, family/friend in the company), which may cause undue influence on the relationship between your company and Haile Gold Mine

    If YES, please provide details of the area of expertise in which that conflict or potential conflict does or may arise and details of any strategy for preventing conflicts of interest.

    References

    Company Name

    Company Name

    First

    Last

    Title

    Phone Number

    Email Address

    Company Name 2

    Contact Name 2

    First

    Last

    Contact Title 2

    Contact Phone Number 2

    Contact Email 2