Alakoko Membership Application

Membership Application Form

JOIN the Kauai Retail Revolution! We have limited spaces available and all applicants will be reviewed by the Alakoko committee. As a small store we must be selective to ensure success of all members while offering a balanced assortment for our customers.
Which Membership level are you interested in?
Company Name
Business Name
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Website
Facebook
Fill “n/a” if none available
Instagram
Fill “n/a” if none available
Business Background
{companyName} thank you for your interest in taking part of this community store. Please share a little more about you and your business.
What year did you establish your business?
Which best describes your business
Business Bio

What is special about your business or product?0/300
List the products/service you would like to sell:
Business Logo

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Photos of products, service, and/or team.

Any photos uploaded on this form must be authorized for Rice Street Business Association to use with no compensation. It grants permission to use given digital media to promote your business and the Alakoko Store on print, web, and social media platforms.
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Q & A

Help us help you by taking this quick survey.
Are you a member of any of the following Kauai programs?

Other
Which platform(s) do you currently rely on for sales (select all that apply)

Other
Which areas would you like Alakoko to help with?

Other
Care to share the good stuff? Feel free to add any questions or comments. (optional)
Should be Empty:

Membership Application Form

Business Background

Q & A