BlackDollar LLC Business Intake Form
Hello there! Thank you for your interest in listing your business with BlalckDollar's directory on our app. By simply filling out this form, we will list the name, location (if applicable), and website of your business on our app for free.
First and Last Name *
Email Address *
Name of Business *
What is your affiliation with this business? *
Is this business Black-owned? *
Business Phone number
Personal Phone Number
Business Website *
Please include a link to the most direct website for potential customers to access your information or services. If you do not have a website, please include a link to a page that showcases your information, such as a Yelp, Facebook, or Instagram link.
Business Address *
If your business primarily conducts its services primarily in person, please include the full address of each location from which you operate. If you are including multiple locations for businesses of the same name, please separate addresses by semi-colon [;]. If you are an online business, please include the major city or region you operate from.
How do you primarily distribute your services? *
Type of Business *
If you selected "Other," please specify your business category.
Business Instagram Handle
Business Twitter Handle
Business Facebook Page Link
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