Industry Resource Profile

If you are a contract manufacturer, please fill out this form instead. Otherwise fill out the one below.

Organization Name*
Primary Contact Name*
First Last
Primary Contact Title
Primary Contact Email*
Primary Contact Phone*
Organization Website*
Organization Main Telephone
Address Information*
Street Address Address Line 2 City 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
About Your Company
<provide a brief overview to give someone a basic understanding as to what your company does>
Capabilities
Briefly describe what capabilities that make you unique.
Your Company Is In What Industry?
Industries Served
Please select all that apply