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2nd Tier Reporting System - Prime Registration

Note: Welcome to the WM Supplier Diversity 2nd Tier Reporting System. If you are a WM Prime and you have not yet registered to report 2nd Tier Diverse Spend, please complete the form. Upon submission of your registration, you will receive additional information via email.

Required fields are bold.

Company:
Address:
Address Cont.:
City:
Country:
State/Region:
Zip:

User:
Contact Name:
Title:
Phone Number:	Ext.
Fax Number:
E-Mail Address:
Contact at Waste Management:
Contact Phone Number:	Ext.
Contact E-Mail Address:
MBE Goal (%):	(%)
WBE Goal (%):	(%)