Synergies Market: Seller Signup
Howdy Founders! Synergies Work is excited to announce the upcoming launch of the Synergies Market - a one-of-a-kind marketplace designed to spotlight and showcase disability-owned businesses. As we've worked with many of you to launch and grow your companies, we saw the need for an accessible and equitable marketplace platform.

By the end of the year, we hope to feature 20 disability-owned businesses selling both products and services on our platform. Synergies Work will then market, advertise, and promote your products and services to potential customers all over the country. If you're interested in being among the first sellers on the Synergies Market, just fill out the form below!
Sign in to Google to save your progress. Learn more
Email *
What is your name?
What is the name of your business?
When was your business established?
What state does your business primarily operate in?
Brief Description of Your Business
What type of entity is your business?
What is your estimated annual revenue? This information will only be used for screening of applicants and will not be shared outside of Synergies Work.
Business Website Links (if applicable):
Business Social Media Link (if applicable):
Do you or your business have any specific requirements or accommodations needed for the platform? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Synergies Work. Report Abuse