"Shopping Give Back" Preferred Vendor Application
"Yes! This month I will give back a percent of my sales to the NCWIN scholarship fund." The information you submit below will be posted on the NCWIN website for all to see! Great exposure for your business!!!
Please Note
This additional exposure is a benefit of membership. We invite you to join our organization if you wish to participate in our Give Back program.
Member Name
*
First Name
Last Name
Company Name
*
E-mail Address Associated With NCWIN Membership
*
2 sentence decription of your product line / services offered
*
Link to shopping page (if applicable)
If no link, how should NCWIN people contact you to participate?
Please upload a jpg or gif representing your product line / services or a company logo
*
Browse Files
Cancel
of
Submit Form
Should be Empty: