MBA Submission Request
Please provide the information requested below to submit your business for inclusion in the NWIR Member Benefit Advantage Marketplace.
Name
*
First Name
Last Name
NWIR-Affiliated Company
*
MBA Business Name
*
Please provide the name as you would prefer to have it listed in the MBA database.
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Description of business (please limit to 25 words or less)
*
Please select the categories that apply to your business (select all that apply):
*
Health and Wellness
Beauty/Skincare
Home Repair
Automotive
Childcare
Pet Services
Photography
Graphic Design
IT Services
Other
If "Other", please use a few words to describe:
*
What % discount are you offering for NWIR members?
*
Please list any other special offer for NWIR members.
Before we go, please share a bit about your involvement with NWIR:
How long have you been a member of National Women in Roofing?
*
Have you participated in any committee(s) and/or council(s)? If so, please share involvement:
*
In a few words, share with us why you are a member of NWIR?
*
Submit
Should be Empty: