Women Business Owner Registration

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Note: Highlighted field = Appears on AWC website
   General Information
*Business Name:    
*Street Address 1: Street Address 2:
*Zip:    
*City: *State:
*Office Phone: *Company Website:
   Primary Contact
*Name: *Title:
*Email: Cell Phone:
*Percent Owner: *Are you employed outside of the
company for which you are applying?:
   Secondary Contact
Name: Title:
Email: Cell Phone:
   About your Business
*Select the arena(s)
you perform work in:
Commercial
Highway Heavy
Federal
Multi Family Housing
Residential
  
*Do you want to receive bid
opportunity emails pertinent to your
division(s)/NAICS/categories of work?:
  
*Description of Business: * Note: This is limited to 2000 characters
  
*How did you hear about AWC?:
  
*Business Start Date: *Number of Employees:
  
*Company Revenues:    
       
*Contract Capacity:      
  
*Certifications: Note: If you are certified through the MnUCP program;
your certification is a DBE
CERT WBE   
CERT MBE   
CERT SBE   
DBE   
TGB   
VOSB   
SDVOSB   
Section 3   
8A   
WOSB   
NCMSDC   
WBENC   
NOT CERTIFIED
*Which of the following tasks
are performed by you?:
Billing
Estimating/Bidding
Financing/Purchasing
Payroll
Sign Contracts
  
*Where does your company do
work? Click Here for regional map
(select up to 6):
   
   
  
*Is your firm signatory
to a Union?:
  
  
Company Logo Upload Logo(.png, .jpg, or .gif smaller than 500kb)
*Note: Reselection is needed if there are validation errors of any kind
No Logo Uploaded
Contact Profile Picture Upload Contact Profile Picture(.png, .jpg, or .gif smaller than 500kb)
*Note: Reselection is needed if there are validation errors of any kind
No Profile Picture Uploaded
  
   Payment Information
Total Due N/A
Annual Membership Fee N/A
One-time Enrollment Fee $50.00

Payment Method


Please enter your credit card information below
*Credit Card Number(numbers only)

*Expiration Date(MM/YYYY)
 / 
*Security Code(number on back of card)

If you have issues with your payment, please email admin@awcmn.org



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