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You may use this form if you would like to submit written comments about your experiences with the City of Fort Lauderdale's Procurement Division.

Please provide details of your experiences, regarding doing business or attempting to do business with the City or the City’s prime contractors/vendors.

Be specific in your comments regarding entities involved, as well as time and location for the experiences that you share.

1

Personal Info

 *

Personal Info

Name:

Company Name:

Phone:ext.

Email

Address:

City:

State:

ZIP:

Company's Primary Line of Business:

2

Company Owner's Ethnicity:

Company Owner's Ethnicity:

Asian-Indian

Asian-Pacific

Black

Caucasian

Hispanic

Native American

Other

3

Certifications (if applicable).  Check all that apply:

 *

Certifications (if applicable). Check all that apply:

Small Business Enterprise (SBE)

Minority Business Enterprise (MBE)

Woman Business Enterprise (WBE)

Disadvantaged Business Enterprise (DBE)

Airport Concession Disadvantaged Business Enterprise (ACDBE)

Other

4

If Other:

Describe your certification:

5

Comments:

Add any other comments here:

NOTE:  Business owners may be contacted to provide feedback through invitation-only interviews, surveys.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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