Minority Business Enterprise (MBE) Data Sheet

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Contact Information

Company Information

Minority Certification

My company is certified by the following organizations (Check all that apply):

A copy of your certification must be mailed with submission of this online form.

Please mail to:

Luxottica Retail
4000 Luxottica Place
Mason, OH 45040
Attn: Purchasing, Diversity Supplier Program.

Describe the Composition of Company Owner(s):

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