ArvinMeritor -- Potential Supplier Registration

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POTENTIAL SUPPLIER REGISTRATION

Note: Filling out this information allows a company to identify their interest in doing business with ArvinMeritor. ArvinMeritor buyers may contact your company when or if a bid comes available. Filling out this form does not guarantee an opportunity to bid; however, your company information will be emailed to the appropriate buyers throughout ArvinMeritor. All information will be kept on file for one year from the date it was submitted.

Company Information
Company Name:
Address:

City:	State/Province/Region:	ZIP/Postal Code:
Country:	General Phone:	General Fax:
Annual Revenues (US $ Millions) - Last year:	- Year prior to last:
Name of CEO/President:	DUNS Number:	Number of Employees:
Website:
3 Largest Accounts: (Account Name/Annual Sales)

Union Affiliation
Note: If yes, please list unions and contract expiration date.
Yes No

Quality Certification (Check all that apply)
Note: It is ArvinMeritor's expectation that any new production suppliers are QS/TS certified.
QS 9000: 1998	TS-16949: 1999	TS-16949: 2002	ISO 9001: 1994
ISO 9001: 2000	ISO 9002: 1994	Plan to Acquire	N/A
Supplier Diversity
Note: This applies to U.S. suppliers who are certified by the National Minority Supplier Development Council or the Women's Business Enterprise or one of their regional affiliates.
African American	Native American	Hispanic American	Asian-Pacific American
Asian-Indian American	Women-Owned	N/A
Name of certifying entity:
Business Type (Check all that apply)
Manufacturer	Contractor	Mfg. Sales Rep	Non-Production/MRO Material
Distributor	Consultant	Production Material
Company Structure
Sole Proprietorship	Partnership	Corporation	Joint Venture

Commodity (Check all that apply)
Aftermarket	Aftermarket - All Makes	Air Chambers
Air Intake Manifolds	Assembly	Bar Machined Parts
Bearings	Bushings (Machined)	Bushings (Standard)
Cables	Capital Equipment	Castings (Ductile)
Castings (Grey)	Castings (Non Ferrous)	Castings (Steel)
Catalyst	Ceramics	Copier Equipment
Customs	Electrical Components	Electrical Wire
Energy/Utilities	Fabric	Fabrication
Facility Maintenance & Services	Fasteners	Felt
Flextubes	Foam	Forgings (Cold)
Forgings (Hot)	Friction Material	Gaskets (Felt)
Gaskets (Rubber)	Gears	Glass
Heat Treat	Hooks/Hangers	Hydraulic Components
IT Hardware/Support	Leasing	Links
Logistics	Machining Casting (Ductile)	Machining Casting (Grey)
Machining Casting (Non Ferrous)	Machining Casting (Steel)	Machining Forgings
Motor Parts	Motors	MRO Consumables
Non-Production Products	Office Supply	Packaging
Paint/Coatings	Paper	Plastic
Powdered Metal	Printing/Media	Promotion Products
Prototype	Pumps	Purchase Complete
Rolling Stock/Material Handling	Rubber/Insulators	Scrap-Metal
Screw Machining	Seals	Service Contracts
Shot Cleaning/Surface Preparation	Springs	Stainless Steel
Stampings (CVS)	Stampings (LVS)	Steel (CVS)
Steel (LVS)	Sunroof Rails	Sunshades
Surplus Assets	Telecommunication	Temporary Services
Tie Rods	Travel	Tubing
U-Frames	Uniforms	Waste Management
Wire Welding (CVS)	Wire Welding (LVS)

Manufacture/Distribution Locations:
Specialized Capabilites:
In-House Capabilities:
Core Products:
EDI Capabilites:
Yes No
Contact Information
Name:
Job title:
E-Mail:
Phone:
Fax:
Comments:

Note: This form must be filled out completely in order to successfully submit your information.