NexSysOne | Vendor Registration

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We appreciate you taking the time to provide your company details to Dish Wireless. This is confirmation that your data has been received. The submission of data to Dish Wireless does not in any way represent a solicitation to become a vendor for DISH Wireless. Should our team identify an opportunity for partnership, someone from Dish Wireless will reach out to you to discuss next steps. Again, thank you for your interest!

Company Profile

Please Complete company Profile information below

What is you Primary Email? *

Business Name *

DBA (Doing Business As) Name

Headquarters Address Line 1 *

Headquarters Address Line 2

City *

State *

Zip Code *

Does the billing Address Match the Headquarters Address? *

Yes

Year Business was Established *

Annual Gross Revenue (USD) *

Annual Gross Revenue Reporting Year *

Number of W-2 Employees

DUNS ID

Which State(s) is the business licensed in? *

Please load all current Licenses *

Tower Partner Eligibility ATC *

Yes

Tower Partner Eligibility SBA *

Yes

Tower Partner Eligibility Crown Castle *

Yes

Tower Partner Eligibility Vertical Bridge *

Yes

Avetta ID Number *

Diversity Certifications *

Woman

Veteran

LGBTQ+

Green

Black/African American

Disability

Hispanic/Latinx

Other

N/A

Is this company a 'Parent' or Subsidiary of a Parent Company? *

Yes

Are you Currently subcontracting with an existing DISH partner or any DISH sites? *

Yes

Contact Information

Please complete the contact information below

Primary Contact First Name *

Primary Contact Last Name *

Job Title *

Primary Contact Phone Number *

Primary Contact Email *

W9 Information

Please provide the company W9 information exactly as it appears on the document

TIN / EIN / SSN Number *

Business Type *

Which Services will be Provided? *

Please Specify Other

If 'Construction' is selected, please specify which services can be provided

Civil

Tower

Electrical

Trenching/Boring

Decommissioning

Associated Government Issued Identification Upload *

Vendor Documents

Maximum file size allowed is 5MB.

Company/Landlord Registration