Intentions NYC Brand Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What category would you consider your brand
*
Please Select
Fashion Apparel
Accessories (i.e Jewlrey, Hats, etc)
Beauty
Self-Care/Wellness
How do you identify ownership of your brand
*
Please Select
Black Owned
Latinx Owned
East Asian Owned
Asian Owned
POC Owned
Please select business infastructure
*
Please Select
I am a full time business owner
I am a part time business owner
I have a physical location
The majority of business is done online
How long have you been in business
*
Please Select
I am just starting out
2-3 years
4-5 years
6-10 years
10+ years
Brand's Website
*
Brand's Social Media Handle
*
Please provide a description of your brand and or products
*
Does your brand have production or do you make it by hand?
*
How did you learn about us?
*
Please Select
Facebook
Instagram
GoFundMe
Word of Mouth
Referral
Before You Submit Your Application
Please note that your application fee is non-refundable. Paying this fee does not guarantee a spot in our store. If accepted we will contact you via the information provided on this form. You only need apply once per year.
Intentions NYC Brand Application
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Brand Application Fee
Administrative fee for brand research and verification process.
$
10.00
Submit
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