Thanks for reaching out! We're glad you stopped by. Please leave your name and email address and we will get back to you. Question Title * 1. Let's get to know you. Name Comments, Feedback, Requests Email Address Phone Number (Optional) If you have a Woman Owned and/or LGTBQIA2S+ Owned small business and would like to be considered for a spot on our site, please answer the questions below. Thank you. Question Title * 2. What is your role in the company? Question Title * 3. Is the company Woman-Owned certified? Yes No Question Title * 4. Is the company LGTBQIA2S+ certified business? Yes No Question Title * 5. How does the owner of the company identify? [Select all that apply.] Woman LGTBQIA2S+ BIPOC Ally Other (please specify) None of the above Question Title * 6. What is the location for your small business? If it does not have a location, please leave blank. Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Question Title * 7. What is your website URL? Social Media? Contact Information? Question Title * 8. Please insert a photo you would like to be displayed. If a photo is not provided we will select one from your website. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please insert a photo you would like to be displayed. If a photo is not provided we will select one from your website. Question Title * 9. What category is your small business? Food Home Bed and Bath Construction/ Renovation/ Repair Kids Clothing/ Accessories/ Shoes Business Development Other (please specify) Question Title * 10. Do any of your proceeds get donated to organizations? If so, which ones? Done