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:
Select State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
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this Done Deal™ in the WBDC's newsletter and website and/or other WBENC written publications: Note: this deal will not be published without written permission from the other party.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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(312) 853-3477 Fax (312) 853-0145
wbdc@wbdc.org