Resource Provider Registration

Resource Provider Registration

Welcome to the BWS Network! Please fill out the following information to register as a resource provider and support Black and Brown entrepreneurs and small businesses. After you complete your registration, our team will carefully review your company or organization to ensure it aligns with our mission and goals. We are committed to conducting thorough vetting to verify the legitimacy and alignment of your resources and services with the BWS Network's mission.
Contact Person *

First NameLast Name
Contact Number*
E-mail*
example@example.com
Organization Information
Business Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business*
Business
Others
What types of resources or services do you provide?*
Business
Others
Business Profile Description *
Use this opportunity to attract and secure a potential clients
Who is your primary target audience?*

StartupsSmall businessesEstablished businessesNon-profitsOther
Others
What are your primary goals for joining the BWS Network?*

Networking with entrepreneursProviding resources and supportPartnering with other organizationsIncreasing visibility and reachOther
Others
Where would you like potential clients to be directed?*
Website, social media page, etc.
Additional Information
How did you hear about the BWS Network?*

Social MediaWebsiteWord of MouthEvent or WorkshopOther
Upload your Business Logo and Photos that describe your products or services *

Cancelof
Should be Empty:

Resource Provider Registration

Organization Information

Additional Information