Apply Now | Michael Watson Secretary of state

MBAT Business Application

Apply now to help coMBAT human trafficking in Mississippi

Take steps to make your community a safer place to work and live.

Business Name

Address

Address 2

City/Town

ZIP/Postal Code

Business Website

Business Contact Name

Business Contact Title

Business Contact Email

Business Contact Phone

Business Industry

How did you hear about MBAT?

Applicant understands that participating, or applying to participate, does not create any business relationship between the Mississippi Secretary of State’s Office or any of its employees beyond what is described within the application.

Applicant agrees to join the fight to coMBAT human trafficking in Mississippi by reviewing the resources provided on the MBAT website and sharing all relevant information and trainings with employees and business community. We also encourage participants to create their own best practices.

Certification of Applicant: I certify that I have reviewed the preceding statements and any attached supporting documentation, and to the best of my knowledge, the information provided is true, accurate, and complete. I also certify that I have the authority to execute this application on behalf of the applicant. Reference herein to, or registration by, any specific commercial entities, trade names, trademarks or service marks, or otherwise, does not constitute or imply its endorsement, recommendation, a promise of future employment or work, or favoring by the Mississippi Secretary of State’s Office.

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