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Is your business independently-owned and non-chain, operating in the United States or U.S. territory?
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Yes
No
Do you have a physical address or defined local service area with regular operating hours?
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Yes, locals can access our business regularly
No, we are online only or locals can't access our business
Do you serve the general public or specific customer groups through retail, services, or both?
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Yes
No
Your business has 12 or fewer locations, correct? (copy)
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Yes, we have 12 or fewer locations
No, we have more than 12 locations
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Last Name
Email
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