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Business Information Submission

2. Business Name*

3. Proprietor*

5. Address1*

7. Address2

9. City*

10. State*

11. Zip*

13. Phone Number*

14. Fax Number*

16. Business Logo

    Please send as a png or jpeg file

18. Type of Business*

    1. Retail
    2. Services
    3. Dining

    1. Arts
    2. Entertainment
    3. Health and Wellness

    1. Industry
    2. Lodging / Accommodations

20. Photos for Website Regarding Business

    Please send as jpeg or png file

21. Photos for Website Regarding Business

    Please send as jpeg or png file

23. Information Regarding Business for Website*

    1-2 paragraphs, if possible, detailing information regarding your business

25. Name of Person Entering Information*

27. Phone Number*

28. Email Address*

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field