Women TIES :: Women Inspiring Entrepreneurial Success

Application Form

Premium Membership

We look forward to promoting your company extensively through the premium membership benefits which gives your company prime promotion in our growing directory of women entrepreneurs. To become a Premium member of Women TIES, please:

  1. Complete the form below.
  2. When you come to the "region" section, please choose the region where your office is headquartered and (optionally) other office locations or prime business regions for your company.
  3. Submit the form for approval. Please note: approval may take up to 3 business days.
  4. Once you receive notification of approval, you will need to use the user name and password you set up in the form below to log into the Member Area of the site and pay for your membership through PayPal. Once payment has been made, your Premium benefits will begin immediately.

    In the Member Area, you can update your member profile during the year. We encourage you to maintain accurate and up-to-date information about your company so potential clients can contact you. You can also upload your company logo, a headshot, and a product photo which will display in your directory listing to give you full promotional benefits and visibility.

    In an effort to promote our members' online stores, we have additional fields to display your online store names and website address. We encourage you to fill in any online store in these particular fields since any online stores will also appear as links on the Women TIES Online Store page for additional promotion.

    The Women TIES business referrals space allows members the ability to cross promote other Women TIES members' corporate names to drive business to their companies. They should be encouraged to do the same for your business.

    NOTE: Women TIES, LLC, membership payments are non-refundable during the 365-day membership period.

    First Name *
    Middle Initial   
    Last Name *
    Title *
    Company *
    Ownership *
    Address 1 *
    Address 2   
    City *
    State *
    ZIP *
    Region 1 *
    Region 2   
    Region 3   
    Phone 1    (enter in xxx-xxx-xxxx format)
    Phone 2    (enter in xxx-xxx-xxxx format)
    Fax    (enter in xxx-xxx-xxxx format)
    Email 1 *
    Email 2   
    URL 1   
    (enter full URL beginning with "http://")
    URL 2   
    (enter full URL beginning with "http://")
    URL 3   
    (enter full URL beginning with "http://")
    Online Store Name   
    Online Store URL   
    (enter full URL beginning with "http://")
    Online Store Name 2   
    Online Store URL 2   
    (enter full URL beginning with "http://")
    In Business Since (Year)   
    Number of Employees/Subcontractors   
    Multiple Locations?
    (How many and where?)   
    Desired marketplace
    (check all that apply)   
    Business Category *
    Business Category   
    Business Category   
    Business Category   
    Description (please limit to 50 words or less)   
    Speaker's Bureau Topics (please limit to 100 words or less)   
    Profile (please limit to 200 words or less)   
    Featured Products or Services (please limit to 50 words or less)   
    Women TIES Business Referrals   
    (if none of the categories fits your business, if we've missed your region, if there's anything else you want to tell us, list your comments here)
    User Name (10 character max.) *
    Password (10 character max.) *
    This helps us reduce spam:   
    * Required field

    315.708.4288   |   info@WomenTIES.com   |   P.O. Box 339   |   Syracuse, NY  13211
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