Minority Enterprise Executive Council (MEEC)

Team With The Winners - Join MEEC today!

The business organization for certified minority suppliers that provide
 the following services:

◘Information Technology    ◘Telecommunications     ◘Manufacturing   ◘Finance  ◘Construction ◘Utilities  
◘Healthcare   ◘Education   ◘Transportation   ◘Electronics

MEMBERSHIP APPLICATION

Name:  _______________________________________________ Title: ______________________

Business Name:  __________________________________________________________________

Address: _________________________________________________________________________

City: ____________________________________________ State:_________ Zip: ______________

Today’s Date: ____/____/____  Ph(_____)___________________ Fax: (____)________________

Type of Business: ___________________________________________________________________

Years In Business: _________ D & B #: _________________________________________________

MBE Certification: _________________________________________________________________

Client Listing: _____________________________________________________________________

__________________________________________________________________________________

E-Mail Address:   __________________________________________________________________

Website Address: ___________________________________________________________________

Select Appropriate MEEC annual membership:

   □ Small/Med. Business      $500     
   □ Major Corporations/Government    $1000   


□ American Express    □ MasterCard    □ VISA
Credit Card #______________________________________________________________

Exp Date: ____/____   Signature: ___________________________________________


Please enclose check with completed form and mail to:
MEEC, P.O. Box 19710, Alexandria, Virginia 22320
For more information call (703) 768-7031      (703) 370-6806 fax
info@mbpn.org     www.meecouncil.com
    

“Building Relationships in Both Public and Private Sectors”