Registration Form

By completing and submitting the form below, internet shoppers and buyers visiting the U.S. Directory of LATINA-Owned Businesses site will be able to quickly locate your business or organization by using any of the following fields: Business category, Product/Service, Company/Organization name, Street address, City, State and Zip Code

Potential shoppers/buyers, clients and business associates will be connected to your business profile which contains more detailed information on your business/organization, contact information, link to your website, and a map locator.

Businesses are encouraged to familiarize themselves with the North American Industry Classification System (NAICS code), since this is the system that government and the private sector (including HBWA) are now using to categorize all business establishments.

Latina Company/Organization Profile

* Company Name or Latina Organization
* Business Category	(11) Agriculture, Forestry, Fishing and Hunting(23) Construction(31-33) Manufacturing(42) Wholesale Trade(44-45) Retail Trade(48-49) Transportation and Warehousing(51) Information (includes Internet, publishing, broadcasting, and telecom services)(52) Finance and Insurance(53) Real Estate, Rental, and Leasing(54) Professional, Scientific, and Technical Services(56) Administrative and Support and Waste Management and Remediation Services(61) Educational Services(62) Health Care and Social Assistance(71) Arts, Entertainment, and Recreation(72) Accommodation and Food Services(81) Other Services (not listed above)(LAT) Latina Organizations
* Your Products or Services
Keywords describing your products/services
* Street Address
* City
* State, PR, USVI	ALABAMAALASKAARIZONA ARKANSASCALIFORNIA COLORADO CONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIAPUERTO RICORHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASU.S. VIRGIN ISLANDSUTAHVERMONTVIRGINIA WASHINGTONWEST VIRGINIAWISCONSINWYOMING
* Zip Code
* Owner's Name
* Owner's Title
Business Phone
Website Address	http://
	I need help in setting up my website.
* Brief description of your Business or Organization: (Up to 50 words)

Contact Person

* Contact Name
Contact Title
* Contact Email
* Contact Phone
Contact Fax

Username

To update your profile please provide a username and password.
* Username
* Password
* Confirm password

Registration Terms and Conditions:

1. Latina(s) must own at least 50% of the company listed.
2. Business must be located in the United States, Puerto Rico or the U.S. Virgin Islands.
3. All company websites listed in the U.S. Directory of Latina Owned Businesses must comply with normal, legitimate business practices and not be offensive in any form or manner to website visitors.

These provisions will be strictly enforced by the Hispanic Business Women’s Alliance, promoters and administrators of the U.S. Directory of Latina owned Businesses.