Brand Jumpstart with Clanin Marketing
Business Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business - i.e. restaurant, boutique, hair salon, construction company, etc.
Where do you conduct business?
Storefront
Food truck
Home-based
Incubator/Coworking Space
Other
How will this project help your business?
*
Please select all that apply to the business owner:
Race/Ethnicity
Asian American or Pacific Islander
Black or African American
Hispanic or Latino
Multiracial
American Indian, Indigenous, Native American, or Alaskan Native
White or Caucasian
Other
Prefer not to answer
Gender
Male
Female
Non-binary
Other
Prefer not to answer
Are you a veteran?
Yes
No
Prefer not to answer
Business Website
Business Facebook
Business Twitter
Business LinkedIn
Business Instagram
Additional social media platforms that your business utilizes
Is there anything else you'd like us to know?
Contact name
*
First Name
Last Name
Contact phone number
*
Please enter a valid phone number.
Contact email
*
example@example.com
Submit
Should be Empty: