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Business Name
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Address
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Phone
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Instagram Handle
Facebook Page
Website
Email
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Describe your business in 50 words or less.
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What makes your business unique?
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What does your business look like?
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(The products and/or services you offer; are you solely a brick-and-mortar or do you have an online presence; do you offer curbside pick-up or delivery; etc.)
Why is it important to support businesses like yours?
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Do you want to say anything to your customers or guests?
Do any of the following criteria apply to your business?
Check all that apply.
Black-owned business
LGBTQ-owned business
Veteran-owned business
Minority-owned business
Women-owned business
Please check the following box to give your permission for your photos or language to be featured in the My Local MA campaign
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I give my permission for my photos or language to be featured in the My Local MA campaign
Please check the following box to certify that your business operates in the state of Massachusetts and is, to the best of your knowledge, in good standing within the Commonwealth of Massachusetts
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I certify that my business operates in the state of Massachusetts and is, to the best of my knowledge, in good standing within the Commonwealth of Massachusetts
Please upload up to 5 high-resolution photos of your business
(on an iPhone, "large" or "original" size)
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, Max. file size: 10 MB, Max. files: 5.