2022 Diverse Supplier Directory Form
*Please note, a gmail account is NOT required to submit this form.* 

 Join the 2022 Diverse Supplier Directory with a complimentary diverse supplier profile! By submitting this form, you acknowledge that you are based in the US and are a certified diverse supplier. All entries must fill out the required fields for entry. Please do not submit invalid responses as they may result in the removal of your entry.

If you were part of the 2021 Diverse Supplier Directory, we suggest you fill out this form as the entry has expanded to include additional information.

If you are a corporation interested in sponsoring the 2022 Diverse Supplier Directory, please contact Publisher Kristin Schneider at kristin@wegp.biz.  
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Contact Information (Will not be published in the directory)
Directory Contact Name *
Directory Contact Email Address *
Directory Contact Phone Number - xxx-xxx-xxxx *
Were you part of the 2021 Diverse Supplier Directory?   *
Captionless Image
Directory Listing Information (Will be published in the directory)
Company Name *
Company Website URL *
Contact Person's Name *
Contact Person's Title *
Phone Number - xxx-xxx-xxxx
Email Address *
Company Street Address
Address 2 (Suite Number, etc)
City Name *
State *
Zip Code
Please select your industry *
Please select all certifications that apply *
Required
Please select certifying organizations. All certifications marked must have a certifying organization listed. If your certifying organization is not among those listed, please use the option for "Other" and list them. *
Required
Please describe your company's goods or services in 60 characters or less.  For example, a print company may describe services as "Custom Print Projects, Brochures, Signs".   *
By submitting this form, you agree that you have answered truthfully about the certifications above. Your directory entry will be printed as is except in the case where content must be edited for clarity or grammatical errors. Please be aware your profile information may be shared with certifying organizations as needed.
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