Georgia Women's Business Council

Untitled Document

CEO:

Telephone Number:

Mailing Address: (if different from above)

City:

State:			Zip:

Business Description: (products and services)

Typical Purchasing Needs:

Do you have a WBE purchasing program?		yes no

If not, do you anticipate establishing a WBE purchasing program?		yes no

If so, when?

Would you like assistance on developing a WBE purchasing program?		yes no

Do you require certification?		yes no

Do you receive federal funding?		yes no

Do you track dollars spent with WBE business enterprises?		yes no

Amount spent with WBE vendors in 2001		$

Will you host a mini-fair and/or a GWBC meeting at your facility?		yes no

How did you learn about GWBC?

Application Payment Information

2002 Annual Corporate Dues: $2500.00
Please complete and mail your application with check payable to GWBC to:

Georgia Women’s Business Council
PO Box 808
Stone Mountain, GA 30086

Or fax application to: 800-878-0699

If you are interested in the Women’s Business Enterprise National Council, please visit www.wbenc.org or call 202-872-5515 for more information.