U.S. Suppliers Registration Form

Part 1- Create an Online U.S. Supplier Admin Account
Thank you for participating in the U.S. Supplier List Online program. In order to complete this
registration you must have an e-mail address and D&B D-U-N-S Number (click here to obtain
a number). This form is your online admin account and will determine how you logon to access
new services and edit your Company information. You must complete Parts 1-3 to complete
your USL registration. All fields marked with a red asterisk are required. ( * )

Create a User ID:

*

(Required for Logon. Alphanumeric characters only. No spaces.)

*

Create Password:

(Required for Logon. Alphanumeric characters only. No spaces.)

Verify Password:

*
(Retype the above password.)

Admin Name:

*

Admin Title:
Company Name:

Admin Phone:

Admin Fax:

*
*
(Example: 777-555-1212)
*
(Example: 777-555-1212)

*
Email Contact Address: (Example: yourname@something.com)
Must be valid - This is the contact address for your
account
Enter

You must complete Parts 1-3 to complete your USL registration.

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Part 2- Create a New USL Company Record
Please enter the following information to create your USL Company Profile. All fields marked with
a red asterisk are required. ( * )
Use this form to create your USL Company Profile. The fields with an asterisk are
required. ( * )
Company Name:
Duns Number:

*
*
(Example: 12-333-2345)

Address:

*

Address2:
City:

*

State:

*

Zip/Postal Code:

*

Web Site:
CEO:

*

Click for SIC codes
Contact Name:

*

Contact Title:

*

Email Address:

Phone Number:

Fax Number:
Year Firm Founded:

*
(Example: yourname@something.com)
*
(Example: 777-555-1212)
*
(Example: 777-555-1212)

Comments:

Under $25,000
$25,000 to $49,999
$50,000 to $99,999
$100,000 to $499,999

Total Sales Volume:

1
2 to 4
5 to 9
10 to 24

Number of Employees:

*

*

Please indicate your participation in the following USDA Programs within the last six
months:
Buyers Alert

Yes |

Foreign Buyers List
Export Credits
Trade Leads
Trade Shows
MAP Program

No
Yes |

Yes |
Yes |
Yes |
Yes |

No

No
No
No
No
Enter

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Part 3- Add Your USL Company Search Categories
Use the form below to add "searchable" categories to your Company listing. You may choose
more than one selection in each category by holding down the Control key when making your
selections. Please make an entry for each category below.

Product Type: * Please select the products the company provides. Use the [Ctrl] key to
select more than one.
---*
------*ALBUMINOIDAL SUBSTANCES AND GLUES
---------*Albumin, egg
-------------Albumin, egg
---------*casein
-------------Casein
---------*Dextrins
-------------Dextrins
---------*Protein Isolates
-------------Protein
------*BEVERAGES
---------*Beer
-------------Beer
-------------Beer, nonalcoholic
-------------Beer/Malt
---------*Beverages
-------------Beverages, Preparations
---------*Cider
-------------Cider
---------*Coffee
-------------Coffee
-------------Coffee Based Extracts,Essence
-------------Coffee Extracts,Essence, Retail
-------------Coffee Extracts,Essence,Concentrated
-------------Coffee Extracts,Essence,Other
-------------Coffee Instant,Non-Decaf.
-------------Coffee Substitute
-------------Coffee Substitute, Containing Coffee
-------------Coffee, beverage, for retail sale
-------------Coffee, specialty/gourmet

Indicate Company Type * Please be as specific as possible. (Use the [ctrl] key to select
more than one.)
-----ALL TYPES
----------Agent
----------Broker
----------Distributor
----------Exporter
----------Grow er
----------Manufacturer
----------Marketing
----------Not Available

Indicate Regions Served * Please be as specific as possible. (Use the [ctrl] key to select
more than ones.) When selecting your categories, select the 'top tier' and all second and third
levels that apply.

-----ALL REGIONS
----------Africa/Middle East
----------Australia and Oceania
----------Central America and South America
----------Eastern Europe and Russia
----------North America (Canada and Mexico)
----------Northeast Asia and China
----------Southeast Asia and India
----------Western Europe

Indicate Company Specialty * Please be as specific as possible. (Use the [ctrl] key to
select more than one.)
-----ALL SPECIALTIES
----------Does not Apply
----------Certified Organic
----------Food Service
----------Genetically Modified (GMO)
----------Halal
----------Kosher
----------Native American
----------Natural Food/Non-Certified Organic
Enter

Please click the Enter button to complete your company account.
FAS Home | USDA.gov | Economic Research Service (ERS) | World Agricultural Outlook Board (WAOB) | Trade
Links FOIA | Accessibility Statement | Privacy Policy | Non-Discrimination Statement | Information Quality |
FirstGov | White House

_____________________________________________

According to the Paperwork Act of 1995, an agency may not conduct or sponsor and a person is not required to respond
to, a collection of information unless it displays a valid OMB control number. The valid OMB number for this information
collection is 0551-0031. The time required to complete this information collection is estimated to average 33 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering & maintaining data
needed for completing & reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color,
national origin, sex, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited
bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information
(Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and
Independence Avenue, SW, Washington DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity
provider and employer.

_______________________________________________________________________
March 2008, OMB 0551-0031

Company Information submitted to the USL Database
Your Company information has been submitted to the FAS USL Database. Upon review and
verification, your company information will be "activated" and buyers will be able to search our
online USL database and review your company's information.
Back to FAS Main
FAS Home | USDA.gov | Economic Research Service (ERS) | World Agricultural Outlook Board (WAOB) | Trade
Links FOIA | Accessibility Statement | Privacy Policy | Non-Discrimination Statement | Information Quality |
FirstGov | White House
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color,
national origin, sex, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited
bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information
(Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and
Independence Avenue, SW, Washington DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity
provider and employer.
March 2008, OMB 0551-0031