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* 1. What is the name and address of your business?

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* 2. What kind of business are you? (Choose the best fit)

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* 3. What is your estimated opening or re-opening date?

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* 4. What will your hours be?

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* 5. What days of the week will you be open?

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* 6. Will you be taking any of the following steps:

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* 7. If you will not be open to the public, what are other ways that customers can support your business? (e-commerce site, curbside, delivery, etc.)

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* 8. Are you offering any Specials, Deals our coupon codes?

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* 9. Website link (Online Store, Facebook, Instagram, Etc)

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* 10. Special Message or Instructions for customers:

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