[vc_row][vc_column width=”1/4″][/vc_column][vc_column width=”1/2″][vc_column_text css=”.vc_custom_1676069468021{margin-right: 100px !important;margin-left: 100px !important;}”]Please use the location intake form below to submit your business information. What you provide here will be reflected on any and all directory listings.[/vc_column_text][vc_column_text]

 

Location Intake Form
Business Name*
Business Owner Name*
Contact Phone
Published Phone Number
Assist Phone
Alternate Number/ Fax
Contact Email
Published Email Address
Secondary Email
Assistant
Website
Published Business Address(Street)
Unit#
City
State
Zip
Address Type
Wheelchair Accessible
Parking Options
Hours of Operation (all 7 days)
Payment Type Accepted
Year Founded
Categories /Keywords

[/vc_column_text][/vc_column][vc_column width="1/4"][/vc_column][/vc_row]