Major Customers

Please list the names of 3 companies that your business works with.

Company 1*

Company 2*

Company 3*

Referral, industry and previous policy information

Did a member of MMSDC refer you to join?*

Yes
No

Who referred you to join MMSDC (name, company)?*

Do you currently have a supplier diversity program/policy in place that identifies and measures dollars contracted with MMSDC certified minority business enterprises (MBEs)?*

Yes
No

Upload your supplier diversity policy*

Accepted file types: pdf, jpg, tif, png, Max. file size: 256 MB.

Your CEO Information

CEO name*

First Last

CEO phone*

Extension

CEO email address*

Your Primary Contact Information

Name*

First Last

Job title*

Phone*

Phone extension

Fax*

Email address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Secondary Contact Information

Name*

First Last

Job title*

Phone*

Phone extension

Fax*

Email address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment & Checkout

Payment Type*

Credit Card
Invoice

Corporate Membership Annual Fee - Level 1*

Price:

Corporate Membership Annual Fee - Level 1 (Non-Profit, Gov't Education)*

Price:

Corporate Membership Annual Fee - Level 2*

Price:

Corporate Membership Annual Fee - Level 3*

Price:

Corporate Membership Annual Fee - Level 4*

Price:

Total amount due

$0.00

Credit card information*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Credit Card Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where would you like us to email a receipt of the above submitted data and billing summary?*

313-873-3200

MBE Pre-certification Briefing – Virtual

SBA Procurement Programs Orientation 8(a): HUBZone & WOSB/EDWOSB

MBE Pre-certification Briefing – Virtual

SBA Procurement Programs Orientation 8(a): HUBZone & WOSB/EDWOSB

For Corporate Members

Apply For Membership

For Corporations Only

Corporate membership application (1P)

Company Information

Major Customers

Referral, industry and previous policy information

Your CEO Information

Your Primary Contact Information

Secondary Contact Information

Payment & Checkout

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