Business Member Application Business Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*Business Email* Hours of Operation*Website Social Media (ie- Facebook, Instagram, Twitter)Contact Name* First Last Contact Phone*Contact Email* Do you need a new exterior photo?YesNoIf yes, will you provide?YesNoDo you need new interior photo(s)?YesNoIf yes, will you provide?YesNoDo you need your business information/description updated?YesNoDescription of business/services offered:*If yes, please provide the new description or bullet points for copy development.Would you like to be featured in the Visit New Harmony Map?YesNo
