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2. First Name
3. Last Name
5. Business Name*
6. Type of Business*
7. Business Website
9. Where would you like to promote your business on the Village Website?
   -- Select One --Business DirectoryShop Local Webpage

   The Business Directory strives to be a complete listing of businesses in the Village. In this space, you can provide the Village with a brief description of your business, submit photos, and provide links to your website and social media pages.

   The Shop Local Webpage is a space to promote businesses with a retail sales and services component in Riverside. The Village would post the name of your business, a link to your website or primary social media page, and a very brief description.

11. Address*
13. City
14. Phone Number
16. Business Photo
17. Business Photo 2
18. Contact Email
    This will not be posted on the map.
20. Business Description*
    This will show up in the map area.
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field