Contractor Registration • Port Covington

Contact Information
Contact Name*
First Last
Email*
Phone*
Title*
Are you the business owner?
Owner's Name
First Last
Owner's Title*
Owner's Email*
Owner's Phone*
Company Information
Company Name*
Does the company operate under another name?
Doing Business As (DBA) Name
Employer Identification Number (EIN)*
Maryland License Number
Service Offered*
CTRL (Command on Mac) + Click to select multiple types
Other Industry Type
Website
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Is Your Company Baltimore City Certified with the Minority & Women's Business Opportunity Office (MWBOO)?*
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- Events
- Community Impact
By submitting this information, I agree to be contacted by the Port Covington team.

Contact Information