"*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.Company Name:*Physical Address:*City:*State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code:*Remit to Address:*City:*State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code:*Accounts Receivable Contact* First Last AR Contact Email:*AR Contact Telephone Number:*Please upload a signed copy of your W-9*Max. file size: 128 MB. Do you accept ACH Payments?* Yes No Vendor Name:*Bank Name:*Account Type:*CheckingSavingsPayment Type:*CCDPPDRouting Number:*Account Number:*Remittance Advice Email:* Do you offer early payment discounts?* Yes No What are they?*Are default payment terms are NET 30 Days?Please select any applicable industries you work with: Aerospace Military Marine Aviation Are you AS9100 certified?* Yes No Please upload a copy of your AS9100 certificate(s).Max. file size: 128 MB. Are you ISO 9001 certified? Yes No Please upload a copy of your ISO 9001 certificate(s).Max. file size: 128 MB. 1.0 QUALITY SYSTEM ORGANIZATION AND PLANNING1.1 Are key business processes defined, monitored for performance, and corrective actions taken when the process metrics do not meet targets?* Yes No 1.2 Has management established a quality policy?* Yes No 1.3 Has management established measurable objectives?* Yes No 1.4 Has management provided personnel and resources to meet NPS needs?* Yes No 1.5 Does management monitor how they are performing vs. NPS orders?* Yes No 2.0 QUALITY SYSTEM OPERATION AND CONTROL2.1 Does management review customer orders?* Yes No 2.2 Does management have a system for control order changes?* Yes No 2.3 Does management control how NPS orders are quickly converted to in-house work orders?* Yes No 2.4 Does management have a process for quick response to NPS needs?* Yes No 2.5 Does management have a process for product traceability?* Yes No 2.6 Does management control inspections/tests so that only conforming product ships to NPS?* Yes No 2.7 Are there material handling, storage, packaging, & delivery methods* Yes No 2.8 Is there a method for after shipment follow up to ensure NPS satisfaction?* Yes No 3.0 QUALITY IMPROVEMENT3.1 Does management perform internal quality audits?* Yes No 3.2 Does management review the systems performance (e.g., Management Review)?* Yes No 3.3 Does management perform corrective and preventative actions?* Yes No 3.4 Does management drive continual improvement based on identified risks and opportunities?* Yes No Total ScoreScoring scale 1 to 5, with 5 being excellent. A perfect score is 100. Minimum required score for qualification is 60. Any ‘No” requires written corrective action to NPS.CaptchaConsent* By checking this box and providing my signature below, I certify that I have read and agree to National Plastics and Seals' Vendor Terms and Conditions and Nondisclosure Agreement.Signature*Your NameYour NameYour NameYour Name
