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About
The Project
Materials
Investor Info
Updates
- Blogs
- Press Releases
Connect

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Vendor Intake Form

Companies that want to work with Perpetua Resources can take the first step by filling out this form.

Company Name:(Required)

Trading Name/Doing Business As:

What country is your company incorporated in?

Does your company have an office in Idaho?

Yes

No

If yes, please list which city.

Company Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address (if different):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number Head Office:(Required)

Please select any special certifications held by your company.

Minority-Owned Business

Women-Owned Business

Tribal-Owned Business

Veteran-Owned Business

Name of Point Person:(Required)

First Last

Title of Point Person:(Required)

Point Person's Phone:(Required)

Point Person's Email:(Required)

Business Type:(Required)

Service Provider

Contractor

Supplier/Manufacturer

Distributor/Agent/Trader

Stockist

Other

If you listed other, please describe:

If you are a service provider, please select the category that best describes you:

Professional Consultant

Labor Supply

Laboratory Services

Surveying

Logistics

EPCM

Other

If you listed other, please describe:

If you are a contractor, please select the category that best describes you:

EPC

Civil Works

Concrete Works

Structural/Mechanical/Piping Installation

Electrical & Instrumentation

Piping

Pipeline

Other

If you listed other, please describe:

If you are a supplier/manufacturer, please select the category that best describes you:

Process Equipment

Mechanical Equipment

Piping

Electrical Equipment

Control Equipment

Instrumentation

Other

If you listed other, please describe:

If you are a fabricator, please select the category that best describes you:

Structural Steelwork

Platework

Pipework

Other

If you listed other, please describe:

If you are a stockist, please select the category that best describes you:

Structural Steel

Plate

Piping

Cables

Other

If you listed other, please describe:

If you are a distributor/agent/trader, please provide a few details on the services you can provide:

Please provide details on your company's ownership:

Is your company publicly or privately listed?(Required)

Publicly listed

Privately owned

If publicly listed, please provide the exchange and ticker symbol .

Are you part of a group?(Required)

Yes

No

If you answered yes, please provide details.

Number of year's in business.(Required)

What year was your company incorporated?(Required)

In what country was your company incorporated?(Required)

Provide a short text description of your company's business activity and capability for the services that you are seeking to prequalify:(Required)

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Please uncheck if you do not wish to receive notifications from Perpetua Resources.

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