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MI Women’s Marketplace
Payment Center
Contact Us

Menu

MI Women’s Marketplace
Payment Center
Contact Us

Search

Close

Facebook-f Linkedin-in

About Us
Certification
Membership
CEED Lending
Women’s Business Center
News & Events

Menu

About Us
Certification
Membership
CEED Lending
Women’s Business Center
News & Events

MI Women’s Marketplace
Payment Center
Contact Us

Menu

MI Women’s Marketplace
Payment Center
Contact Us

Facebook-f Linkedin-in

Search

Close

About Us
Certification
Membership
CEED Lending
Women’s Business Center
News & Events

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About Us
Certification
Membership
CEED Lending
Women’s Business Center
News & Events

Membership Application and Payment

Home » Membership » Membership Application and Payment

Member Information
Name*
First Last
Company Name*
Website
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Cell Phone
Business Phone
How did you learn about Great Lakes WBC?
- Advertisement
- CEED Lending
- Corporate
- Event
- Facebook
- Internet
- Member
- Sponsor
- Staff
- WBENC
- Other
Have you been a member before?*
- Yes
- No
Are you renewing your membership?*
- Yes
- No
Membership Fees
Membership Levels & Fees*
- Corporate ($2,500)
- Government/Public Institution ($800)
- Nonprofit ($500)
- Small Business/Individual ($50)
- Already Paid ($0)
- Other
Other*
Does your corporation have an existing minority/diversity purchasing program?*
- Yes
- No
Does your corporation require WBENC/MBE certification to be considered for women/minority spend?*
- Yes
- No
What kind of supplier(s) is your company most interested in?
Payment Information
Total Fee:
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Same as address

Street Address City State / Province / Region ZIP / Postal Code Country
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