Thank you for your interest in becoming a supplier to Visteon Corporation. Be as thorough as possible when completing this form to expedite processing.

This form is for prospective minority suppliers only.

Inquiries and requests to other Visteon functions can be found on the Contact Us page.

 
Are you a Minority (MBE) or Women (WBE) Business Enterprise?
If minority owned are you certified by NMSDC?
If yes: With which NMSDC Councils are you certified?
  What is your NMSDC certificate number?
If women owned are you certified by WBENC?
If yes: With which WBENC Councils are you certified?
  What is your WBENC certificate number?
Company Name*
Address
City
State/Province Postal Code
Country
First Name*
Last Name*
Title*
Phone*
Fax
E-mail*
Web site URL
Type of Business*

Primary Products
and Services

Commodity Group*

Geographic Locations (check all that apply)
 
Currently
Served
Able
to Serve
Facilities
Located In
North America
Europe
Asia Pacific
South America
Total Annual Sales in U.S. Dollars
Number of Employees
Do you have any Unions?
If YES, which ones?
When do the contracts expire?
Are you privately or publicly owned?
Do you qualify as a minority supplier?
If YES, provide detail or explanation
% of sales which are automotive %
% of plant capacity which is automotive %
% of overall available capacity %
Top three customers
Customer Name
% of Sales
%
%
%
Are you capable of receiving EDI releases?
Do you offer JIT delivery?
What are your quality certifications (e.g., QS9000, TS16949)?
What are your design capabilities?
Do you have a design staff available to assist if needed?
Do you currently measure your own quality and delivery performance?
Comments or Questions (Be as specific as possible.)

* = required field
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