Register your business using the form below.

All fields are required unless marked (optional).

You have successfully submitted the form

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Please give us some information about your company.

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Please identify the business classifications for which you qualify by marking the appropriate box(es) below. Refer to the definition of each classification as listed following this form.

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If your firm qualifies as a Small Disadvantaged, Minority or Woman-owned Business as defined by FAR 52.219, please designate your classification by marking the box for at least one of the categories shown below**

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Company Classification

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*Note: Completion and submission of the registration form does not guarantee your status as an approved/preferred Asurion Supplier. Your company will be entered into the Supplier Diversity Database for further consideration based on internal business needs.

Definitions - Business Classifications