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Shell PA Petrochemical Project Business Registry Form

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Fields marked by * are mandatory

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Please enter a valid email address.

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Is this address your company headquarters?

Is this address your company headquarters?

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Do you have a parent company? *

Do you have a parent company? *

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Fields marked by * are mandatory

Fields marked by * are mandatory

Fields marked by * are mandatory

Fields marked by * are mandatory

Are you classified as a local, women or minority business?

Are you classified as a local, women or minority business?

If you are certified as a local, women or minority business, check all certifications that apply

If you are certified as a local, women or minority business, check all certifications that apply

Services or materials offered - Check all that apply; at least one must be checked

Services or materials offered - Check all that apply; at least one must be checked

Please check the insurance you carry or participate in

Please check the insurance you carry or participate in

Have you worked with Shell, or a Shell-affiliated project (e.g. Motiva, Criterion, etc.) in the past? *

Have you worked with Shell, or a Shell-affiliated project (e.g. Motiva, Criterion, etc.) in the past? *

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Fields marked by * are mandatory

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