Small Black Business Directory Form

Dubuque Black Small Business Directory

Service provided by the BIPOC Leader & Professional Collective
Is Your Business in Dubuque. Foreign companies are not accepted if not licensed in the state of Iowa

YesNoNo, but Iowa Base
Business or dba Name*
Primary Contact Name*
Primary Phone Number*

Area CodePhone Number
Secondary Number

Area CodePhone Number
Business Address (MUST INCLUDE IF PHYSICAL LOCATION) Online business skip to next section

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website
Email address to be used in listings*
Person Completing this form
Best email address to be used for us to contact you
Person Completing this form - Phone Number

Area CodePhone Number
Business Description*
Briefly describe the products/services you offer.*
List hours of operation*
What geographic areas does your agency serve?
Social Media Links
Are you searchable on Google?*
Year Agency Opened*
Which of the following best describes the services your agency provides (choose up to 5)*

AccountingAdministrativeArts & CultureBeauty Care/ServiceClothing Store/BoutiqueCommunity ServicesCommunity ResourcesConsulting ServicesConstructionConsumer & Small Business ServicesCriminal Justice & Legal ServicesDay Care - AdultDay Care - ChildDeaf/Blind ServicesDesigner (Non-Manufactured)Disabilities - AdultDisabilities - ChildrenEducation/Mentor Programs & Resources-AdultEducation Programs & Resources-ChildEmergency ServicesEmployment - AdultEmployment - YouthEnergy AssistanceFood Service (Restaurants, Catering, Food Truck)General AssistanceHealth CareHome Health CareHomeless SheltersHospice ServicesHousing AssistanceInformation TechnologyLife Coaching (Personal Development)Makeup ArtistMedical ServicesMental Health Services AdultMental Health Services Children/YouthMulti-Level MarketingMusic Services (Engineer/Audio House)NotaryPaintingPersonal AssistantPersonal Trainer/Personal & Professional DevelopmentPregnancy AssistancePrevention Education ServicesReligious MinistriesSelf-Help GroupsSubstance Abuse Services AdultSubstance Abuse Services YouthTransportationOther
If your customer/client is searching for your company online, what key words or tags would they use? (ex. body care-type each tag and hit enter after each)
Please verify that you are human*
*This directory is informational purposes only. We advise all consumers and potential clients to do their own due dilegence of potential service providers, retail and privately owned stores. The business list is not an endorsement from the "Collective" Small Businness Alliance of Dubuque nor Tri-Phoenix Group, LLC (and affiliates). All business that are included on the listing are responsible for their own compliance according to local, state and federal laws.
Listing is free but donations are welcome!

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Dubuque Black Small Business Directory