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2. Business Name*
4. Address*
6. City
7. State
8. Zip Code
10. Business Contact Person
11. Business Phone Number
12. Business Email Address
14. Business Website
15. Link to Business Facebook Page
17. Why do you love this business?*
19. Business Information*
    Please describe the business or service.
21. Photo
    Please upload a photo of the business - the storefront, specialty product, or the business in action. We will use the photo on our social media.
22. Other
    Please upload any other documents/photos you think are relevant - such as a menu or any specials.
24. Nominator Contact Name*
25. Nominator Email or Phone Number*
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field