USBWCC ANNUAL MEMBERSHIP (1 – 5 EMPLOYEES) - United States Black Women's Chamber of Commerce

Business Name *

Contact Person *

Phone Number *

Fax

Street Address *

City *

State *

Email Address *

Website

Social Media Profiles

What industry is your business in? *

Number of employees *

Annual Revenue *

Self Identification. Select all that apply. *Asian/Pacific Islander Owned BusinessHispanic/Latino Owned BusinessVeteran Owned BusinessWoman OwnedAmerican Indian/Native American Owned BusinessBlack/African American Owned BusinessNone of the Above

Federal Certification. What certifications does your business have? Select all that apply. *General Services Administration (GSA) Schedule CertificationHistorically Underutilized Business Zones (HUBZone) CertificationNational Minority Supplier Development Council CertificationSBA; 8(a) Business Development Program CertificationService-Disabled Veteran-Owned Small Business (SDVOSB) CertificationSmall Business CertificationVeteran-Owned Small Business (SDVOSB) CertificationWomen-Owned Small Business (WOSB) CertificationNone of the above

What Affinity Groups or Committees are you interested in joining?

What Social Media platform do you mostly participate in and engage with?