Contract Manufacturer Profile Form Are you a contract manufacturer? Do you work with small-to-medium sized companies? Would you like to be part of FuzeHub’s Knowledge Base so that we can match you with businesses that might need your contract manufacturing in New York?If so, fill out your information below. Organization Name* Primary Contact Name* First Last Primary Contact Title Primary Contact Email* Primary Contact Phone*Organization Website* Organization Main TelephoneAddress Information* Street Address Address Line 2 City 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 Pacific State ZIP Code Are you willing to work with startups?* Yes No Maybe How many employees do you have in New York State? No employees 1 - 5 6 - 49 50 - 99 100 - 500 More than 500 Industry SectorPlease select all that applyAdvanced Material & Manufacturing, including Contract ManufacturersAerospace & DefenseAgribusiness, Food & BeverageBio-Technology & Life Sciences, Medical, Personal Care/Cosmetics, ChemicalsClean Technology & Renewable Energy, Environmental, Bio-Materials/SustainabilityConsumer/Industrial/Construction Products and OthersFashion & ApparelHigh-Tech Electronics & IT, I4.0, Robotics, SensorsOptics, Photonics & ImagingPrecious Metals & GemsProfessional & Financial Services, EngineeringTransportation Equipment & LogisticsOther Industry SectorIf none of the above sectors apply, tell us your industry. About Your Company<provide a brief overview to give someone a basic understanding as to what your company does>CapabilitiesBriefly describe what capabilities that make you unique.Industries ServedPlease select all that applyAerospace/AviationAutomotiveConstruction/FacilitiesConsumer GoodsEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechQA/Quality ControlFood & BeverageScience/ResearchTechnologyTelecommunicationsTransportation/LogisticsOtherMaterialsBriefly describe what types of materials you work with or specific ones you don't work with.Describe one or more of the top services or products or technologies or pieces of equipment offered/used by your company. i.e. Water Jet Cutting - We water jet cut sheet materials up to 24" x 10#, or other capability you would like to highlight.1) Technology/Service/Equipment Description2) Technology/Service/Equipment Description3) Technology/Service/Equipment Description4) Technology/Service/Equipment Description5) Technology/Service/Equipment Description Δ
