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Minority & Women-Owned Businesses Registry Application

  1. Must be within the city limits of the City of Michigan City and cannot be a PO Box.

  2. (if different from street address)

  3. Primary Phone Type*

  4. Secondary Phone Type

  5. Total size of workforce*

  6. Are you currently registered as a minority or woman-owned business by the State of Indiana?*

  7. Leave This Blank:

  8. This field is not part of the form submission.