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Listing Submission and Update Form
Name
This field is for validation purposes and should be left unchanged.
I would like to…
submit a new listing to the directory.
suggest a revision to a listing.
notify NNMD that a business has closed.
Contact information
Your contact information will
not
appear in the business listing. We’ll only use this information if we need to reach you with questions about your submission.
Name
*
First
Last
Phone
*
Email
*
About me
*
I am…
the owner or manager of the business.
an employee or authorized representative of the business.
a resident of the district.
About the Business or Organization
Instructions:
Please complete as many of the fields below as you’re able to provide.
Instructions:
Please complete any fields for which the information currently listed in the directory is incorrect. Use the “Other details or notes” field at the bottom if any of the changes you’re suggesting need further explanation.
Instructions:
Please provide the name of the business, the date it closed (if known), and the business address. You may ignore all other fields.
Name of Business
*
Please provide the name of the business or organization as it’s known to the general public.
Date of Business Closure (if known)
*
Legal Name of Business (if different)
Please provide the legal name of the business or organization if different from the name provided above.
Description
Please briefly describe the business or organization.
Please Note:
We only accept listings for businesses that are within the
boundaries
of the Near Northwest Management District, except by special arrangement. Please
contact us
for more information.
Address
*
Street Address
City
ZIP code
Display address
*
Depending on whether the business or organization is open to visitors or the public, you may or may not wish to display the address. Please check one:
Please display address.
Please do not display address.
Business Phone
Business Fax
Business web site
Social media
X.com (formerly Twitter)
Please provide the business’s handle starting with the @ sign.
Facebook
Please provide the complete URL of the business’s Facebook page.
LinkedIn
Please provide the complete URL of the business’s LinkedIn profile.
Other details or notes
Please provide any other information that you think would be helpful to us in creating or revising the listing for this business.
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