The Wicked Widow

Your Information

Your First Name*

Your Last Name*

Your Email*

Your Phone Number*

Your relationship to this business:

Resource Information

Business Name*

Business Website Address*

Business Street Address*

City*

State/Province*

Zip Code*

Please provide a reference that we can contact regarding this business?

What area of expertise would best describe this business?*

Auto Repair/Maintenance*

Household Management*

Financial Services*

Legal Services*

Mental Health*

Health and Wellness*

Other

Service Area

What area does this business serve?

States*

Cities*

Zip Code(s)*

Mileage Radius*

Are you willing to collaborate with TWC to offer free or discounted services?*

Please provide a description of your services in 3-5 sentences which could be used on TWC’s website and submit a logo in .jpg or .png format to resources@thewidowcollaborative.com

Hidden

(DISCONTINUED) Referrer's Phone Number

Hidden

(DISCONTINUED) If you offer multiple services, please list each service provided below

Hidden

(DISCONTINUED) How long have you been in business?*

Hidden

(DISCONTINUED) What is your area of expertise?*

Hidden

(DISCONTINUED) State(s)*

Hidden

(DISCONTINUED) Mileage Radius*

Hidden

(DISCONTINUED) If applicable, do you go to clients and/or do clients come to you?

Hidden

(DISCONTINUED) Can clients access services online (such as a website) and/or virtual (such as Zoom, Teams, etc.)

Hidden

Collaboration

Hidden

(DISCONTINUED) Are you willing to offer free or discounted services to widows in the TWC community? If so, please describe

Hidden

References

Please provide a reference who has knowledge of your business and/or service

Hidden

(DISCONTINUED) Name

Hidden

(DISCONTINUED) Email

Hidden

(DISCONTINUED) Phone

Article

Volunteer

Become a Resource

Your Information

Resource Information

Service Area

Collaboration

References

Refer a Resource

Your Information

Resource Information