* 1. Thank-you for adding a social enterprise, which we define as a business whose primary purpose is social good. Please provide your name AND email address, which we need to process this request.

* 2. What is the name of the social enterprise? (Max 30 characters)

* 3. Street address? Include city, state/province, zip/postal code, country.

* 4. Hours? (Format: Mon-Sat 11am-10pm, etc).

* 5. Phone number?

* 6. Web site or Facebook address?

* 7. Products or menu? (Max 130 characters)

* 8. Social impact? (Max 130 characters.)

* 9. Type of social enterprise? (check as many as apply)

* 10. Payment options. We'll send you an invoice. Questions? hello@socialimpactapp.com.

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