Become our supplier Want to contribute to UCB’s Patient Value Creation with an innovative idea or solution? Fill in this form to get in touch with the right person at UCB Purchasing! Disclaimer:Filling this form does not create you as our supplier in our system but allows you to get in touch with UCB Purchasing and be contacted in case of a potential collaboration opportunity. You must have JavaScript enabled to use this form. row First Name Company Name row Last Name Address row City Email row Subject State row Industry Zip/Postal Code row Country of Interest - Select -All UCBAustriaBelgiumBulgariaSwitzerlandCzech RepublicGermanyNordicsSpainFinlandFranceUKGreeceHungaryIrelandItalyNetherlandsNorwayPolandPortugalRomaniaRussiaSwedenSlovakiaUSACanadaMexicoBrazilChinaHong KongIndiaJapanKoreaTurkeyAustraliaTaiwanSingaporeLuxembourg Country Are you a self-certified / third-party certified diverse supplier? If third-party certified, please attach the support documentation below. - None -Small Disadvantaged Business (SDB)Woman-Owned Small Business (WOSB)Veteran Owned Small Business (VOSB)Service Disabled Veteran Small Business (SDVOSB)Minority Business Enterprise (MBE)Woman Business EnterpriseVeteran Owned Business Enterprise (VBE)Service Disabled Veteran Owned Business Enterprise (DVBE)Lesbian, Gay, Bisexual and Transgender Business Enterprise (LGBT)Disabled Owned BusinessOther (add diversity category in description of services) Please provide a short description of your products or services Attachment One file only.3 MB limit.Allowed types: pdf. CAPTCHA Get new captcha! What code is in the image? Enter the characters shown in the image. * mandatory fields Leave this field blank REQUISITION TO PAY PROCESS HOME CONTACT US!
