New Supplier Request

If you would like to become a supplier to HWI, please complete the form below. An HWI employee will get in contact with you if we feel there are any opportunities.

New Supplier Request

Contact Information

First name*

Last name*

Job title*

Phone number*

800/secondary phone number

Fax number

Email*

Company Information

Company name*

Address*

City*

State/Province*

Zip Code*

Country*

Web address*

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Most recent year annual sales (USD)*

Number of employees*

Less than 100100 to 500500 to 1,000More than 1,000

Year company started*

Type of company*

ManufacturerDistributorAgent

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Has your company done business with HWI in the past?*

YesNo

Which goods or services does your company supply?*

Raw Materials

Refractory Finished Goods

MRO (Maintenance, Repairs, Operating Supplies)

Industrial/Corporate Services/Consulting

Packaging Supplies/Pallets

Transportation

OtherOther

Please list details of good or services supplied in the comments section below*

Additional comments

If you are human, leave this field blank.