First Name
*
Email
*
Phone
Is your business locally-owned and non-chain, operating in the United States or U.S. territory?
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Yes, locally-owned, non-chain
No, chain/corporate
Do you have a physical address or defined local service area with regular operating hours?
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Yes, physical location or local service area, like a food truck or mobile service
No physical presence
Do you serve the general public or specific customer groups through retail, services, or both?
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Yes, we serve customers
No, we don't serve customers
Your business has 12 or fewer locations, correct?
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Yes, 12 or fewer locations
No, more than 12 locations
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