Part 1 - Contact Info
This info will not be added to the post, but will be for our records
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Part 2 - Business Info
Information that will show within the Business Directory
Business Name
*
Is your business majority Black-owned?
*
Yes
No
What is your business instagram handle
*
Business Phone
Business Email (if applicable)
Business Website (if applicable)
Please select the categories that best describes your business:
Agriculture
Automotive / Marine Service & Sales
Manufacturing / Industrial
Beauty / Wellness / Gym / Spa
Non-Profit
Construction
Professional Services
Equipment Sales & Leasing
Recreation / Sports
Furniture & Appliance
Restaurant / Brewery / Winery / Catering
Grocery
Hardware / Lumber
Retail Shop
Healthcare
Tourism
Other
Pet Products
Fashion
Business Description (optional): Write a brief description of your business. You can also include social media or other links you want to showcase.
Upload 1-2 high-quality photos. Name your images as your business name followed by 1 or 2 (e.g., Shopblackconnect1.jpg, Shopblackconnect2.jpg)
*
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Thanks for helping us showcase your business!
Feel free to share any additional comments about your business (optional).
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