text size A A A

Stryker Instruments

Instruments Supplier Questionnaire


Important: Filling out this questionnaire allows a company to identify their interest in doing business with Stryker Instruments. Our buyer may contact your company when or if a sourcing opportunity becomes available. Filling out this form does not guarantee a sourcing opportunity. Your company information will be kept on file for one year from the date it was submitted.

This form must be filled out completely in order to successfully submit your information.
The few optional fields are identified as such.
Company Information
Company Name:
Address:
Address 2:
City:
State/Province/Region:
Zip/Postal Code:
Country:
Phone:
Fax:
Annual Revenues:
(U.S. $ Millions)  
Last Year :
Year Prior to Last:
Name of CEO/President:
DUNS Number:
Number of Employees:
Website (optional): http://
3 Largest Accounts:
(U.S. $ Millions)  
1

2

3
Union Affiliation: No
Yes (if yes, please list unions and contract expiration date)
Quality Certification: Check all that apply:
(Note: It is Stryker Instruments' expectation that any new critical suppliers are ISO 9000 certified.)
ISO 9001
ISO 13485
AS9100
TS 16949		 FDA Registered
Plan to Acquire
Not Applicable
Supplier Diversity: 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
Not Applicable
Name of Certifying Entity:
Business Type: Check all that apply:
Manufacturer
Contractor
Distributor		 Consultant
Non-Prod/MRO Material
Mfg. Sales Rep.
Company Structure: Choose One:
Sole Proprietorship
Partnership		 Corporation
Joint Venture
Commodity: Check all that apply:
Machining
Elec Comp/Wire Harness
Fabrication
Castings/Powered Metal
Bearings
Seals/O-rings/Foam
Secondary Ops
Raw Material
Springs
Electronic Boards
Gears
Plastics
Distribution - Electrical & Gen
Motor/Motor Components
Sterilization		 Shipping/Packaging
Standard Parts
Measuring/Calibration
Literature
Capital Equipment
Fixtures
Maintenance Items
Factory Supplies
MRO
Finishes/2nd Ops Plastics
Magnets
Specialty - Electrical
Specialty - Sole Source
OEM
Manufacturing/Dist. Locations:
Specialized Capabilities:
In-House Capabilities:
Core Products:
EDI Capable? No
Yes (if yes, please list unions and contract expiration date)
Personal Contact Info
Name:
Job Title:
Email:
Phone:
Fax (optional):
Comments (optional):