Name First Name * Last Name * Full Business Name / Location Name * Address Line 1 * Address Line 2 (Suite #, Building #) City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Main Phone (To that business location) * Alt Phone Home Page (Website) Business (Official) Email Address * Business Description (include all the relevant keywords or services that are key, neighborhood focus may help too) * Neighborhood (especially if located in a big city) Featured Message / Promotion / Discount Hours of Operation * Links of 5-15 Images to include (also include links of videos if you have them) Primary Business Category * Additional Business / Service Type Categories (ex: washer repair, commercial painter, etc) Logo URL (Link to the business logo) Brands Carried Current Live listings (Yelp, Google Local, Facebook Pages, Citysearch, Angies List, Thumbtack, BBB, etc) Please include Login information as well. Payment Options * Discover Visa Invoice MasterCard Traveler's Check Check Apple Pay Cash Google Pay Diners Club Financing American Express PayPal Bitcoin Samsung Pay Venmo CashApp Social Media Accounts (Facebook Link, Twitter, Instagram) Year Established * Specialties Associations Products Any other Comments / Thoughts / Notes
