The Done Deal™ Report
Please…take a moment to complete this form so we can track and publicize all of the WBE "Done Deals"™ in the Midwest Region. You may include any deals that have occurred in the past 12 months.

A Done Deal™ is defined as a deal that occurs between your company and:
  • A WBDC sponsor (see below for the list of sponsors)
  • , or
  • Another WBE company anywhere in the United States.


  •  
    First Name: 

    Last Name: 

     
    Email: 

     
    Address: 

    City: 

    State: 

    other (please specify)

    Zip/Post Code: 

    Phone #: 
    - - Ext.
     
    Fax #: 
    - -
     
       
    1. Name of your company:
    2. Contact Name - Your Company:
    3. E-mail - Your Company Contact:
    4. Phone - Your Company Contact:
    5. Name of corporation or WBE firm with whom you signed the contract:
    6. Contact Name - Company with which you did business:
    7. E-mail - Contact at company with which you did business:
    8. Phone - Contact at company with which you did business:
    9. Optional: Amount of Contract: $
    10. Date of Award:
    11. What services of products will you provide? OR Describe your "Done Deal". (Note: Detailed information you provide here will allow the WBDC to write a more interesting and complete deal description.)

    12. You have my permission to publicize this Done Deal™ in the WBDC's newsletter and website and/or other WBENC written publications: Note: this deal will not be published without written permission from the other party.
      Yes
      No
    13. Website - Your Company:
    14. Website - Company with which you did business:
    15. Total number of deals with this company:
    16. Have you done business with this company before?
      Yes
      No
    17. If yes, when:
    18. Is this a continuation of that contract?
      Yes
      No
    19. I verify that this information is accurate and has not been previously submitted.
      Yes
      No
    20. If this contract is a result of a relationship formed through the WBDC, please describe:(Note: your deal does not have to be the direct result of a WBDC event or program to be reported.)

    * - Required Questions


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