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2. Business Name*
4. Business Address*
8. Contact Information
   The below contact information is for internal use only. City staff will only use this information to contact you directly if needed. This information will not be provided in the Shop Local listing.
10. First Name*
11. Last Name*
13. Direct Contact Phone*
14. Direct Contact Email*
16. I would like to...*

    1. List my business on the Shop Local page
    2. Receive emails with small business assistance information
20. Business Listing Information
    The below information will be used for your business listing. Please ensure that you only provide contact information that should be displayed publicly.
22. Description of Business*
    Briefly describe your business and what products/services you offer.
24. Hours of Operation/Closure*
    Please indicate whether you are currently open and list hours if so.
26. Services or Products Currently Offered
    If applicable, please describe current services and include links to online shop or business website.
28. Additional Information
    Please add any notes or anything else you would like customers to be aware of.
30. Phone
    Provide your preferred phone contact for your customers
31. Email
    Provide your preferred email contact for customers
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field