Dob in a business

DOB IN A BUSINESS

We are creating a public, comprehensive list of businesses who have either...
1. Banned cash or,
2. Continue to mandate jabs
We must keep on record who these people and businesses are so we can make sure we don't support them.
Your name (optional)

First NameLast Name
Your email (optional)
example@example.com
Business's name
Business website
Business's email address (we can send them something)
Bussiness address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are they guilty of? (You can pick ONE or BOTH, whatever applies)
Can you confirm 100% that the info you've given us is factual?
If you have something you can upload to prove it, do so here

Cancelof
Should be Empty: