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Thank you for your interest in becoming a supplier to Barrick Gold Corporation and its affiliates.

Please click here to see a checklist of things you need to provide when registering online as a potential supplier to Barrick.

Supplier Registration Form

Complete the form below and click the Submit Button. All fields marked with a * are required.
Company Legal Name: *
Doing Business as (Trade Name): 
Head Office Street Address: *
City: *
Province/State:
Postal/Zip Code:
Country: *
Company Web Address:
 
Year Business Established:
Country of Incorporation: *
 
Previous Years Revenue
Revenue for:
Revenue Amount (USD):
 
President/CEO Name:
VP Sales Name:
Plant Locations:
Total Production Capacity:
Sales office locations:
Ownership Structure:
Number of Employees:
Dun & Bradstreet:
Tax Id No.:
SIC/NAICS Code:
ISO Approval:
 
Hold down the CTRL key to select multiple
Products Offered: *
Other Products:
Hold down the CTRL key to select multiple
Regions Supplied: *
List Three Primary Customers
Customer #1: *
Customer #2: *
Customer #3: *
List Three Mining Customers
Mining Customer #1: *
Mining Customer #2: *
Mining Customer #3: *
Attach pdf files only, no larger than 2 megs
Attach Additional Information: 
 
Sales Contact Name: *
Sales Contact Title: *
Sales Contact Email: *
Sales Contact Phone: *
Sales Contact Fax: *
Comments:


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