WOB Network Membership Application

Please complete all information accurately.

Section 1:  Contact Information

*Business Name:
*Business Owner:
*First Name:
*Last Name:
*Mailing Address:
*Street or PO Box:
*City:		*State:		*Zip:	-
	Please, keep my address confidential.
– On phone numbers and fax: please include the area code.
*Phone Number:
Toll Free Number:
Fax:
Email:
Web Address: If your full web address begins with something different than http:// (e.g.: https://, ftp://, etc.) please include that in the address.

Section 2: Participation Guidelines

1. Primary business operations must be in the state of Missouri
2. Your business must be a woman-owned Business
   1. 51% owned by a woman
   2. Operated and controlled by a woman
3. Your business provides products or services to Missouri residents or other business owners
4. Your business may be profit or non-profit

Section 3: WOB Network Web Site Information

Please fill out this form exactly as you want the information to appear on your company's feature page on www.womenscouncil.org

Online Categories

Select the categories appropriate to the products you grow, raise, or produce, or the experience you provide

Apparel
Clothes	Jewelry	Handbags/accessories
Retail
Other
Cosmetics
Soap	Skin/hair care	Lotions
Perfume	Make-up	Retail
Other
Financial
Accounting	Marketing/advertising
Other
Food
Bakery/deserts	Candy	Catering
Dairy	Honey Jellies, Jams, Apple Butters	Restaurant
Sauces/seasoning	Wine
Other
Services
Catering	Childcare	Cleaning
Deliveries	Cooking Services	Hair Styling/Beauty
Non-Profit	Organization	Photography
Physical Fitness	Retail	Decorating/Design
Restaurant	Technology	Travel Agency
Other
Occasional Items
Gift Baskets	Floral arrangements	Collectibles
Candles	Holiday Items	Keepsake Items
Photo Albums/frames	Ribbons and Bows	Scrapbooks
Other
Miscellaneous
Wellness Not for Profit Other

By submitting this application, I am indicating that I have completed this application to the Missouri Women’s Business Network honestly and to the best of my ability.  I understand that if the Women’s Council finds any information in this application false that my membership can be terminated.  I also realize that my entry may be edited to fit the allotted space.