BackYourLocal - Business Registration

The BackYourLocal initiative is intended to help promote local small business to the local community. We want to let the local community know that you are "open for business" and encourage local customers to support you.

If you are open for business, but your hours and service offering have changed due to COVID-19, then please complete this form so we can promote you as part of the BackYourLocal initiative.

It is completely free to sign up.

Sign in to Google to save your progress. Learn more
Email *
Business name *
Contact First name
Enter your first name, so we can get in touch with you!
Contact Last name
Business address *
A full address is preferable if possible!
Business Post code
Please enter the post code where your business operates
Industry
How are you operating right now? *
How has COVID-19 affected you?
Provide a summary of how you are now operating (e.g. for a restaurant, are you offering take away and delivery? Is there an updated menu you want to tell your potential customers about)? (e.g. for a health business, are you offering online classes)? What do you want your customers to know about your offering(s)?
Describe your business
Please provide a summary of your business so we can promote you on the BackYourLocal website (e.g. Born out of a love of delicious food, great coffee and music by three local brothers, Belgrave Cartel is a venue that welcomes the whole community like family).
Operating hours
If your operating hours have changed as a result of the COVID-19 pandemic, please enter the most up-to-date information here. We'll promote your opening hours on the BackYourLocal website. Please list hours for each day (Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday)
Phone number
Please list a phone number so that your customers can contact you to place an order.
Website
Please list your website address Please also add any social media links if you would like us to add those, too (Instagram, Facebook, etc.).  
Photo of your business
If you would like a photo of your business included on the website, please email it to backyourlocal@grassrootz.com. Please be sure to name the photo with your business name!
Recommendation
If you have a Google business profile, and have changed your operations due to the COVID-19 pandemic, then we recommend updating your information so your customers get the latest when they Google you. You can learn more on the Google Australia blog here (copy and paste into your browser): https://smallbusiness.withgoogle.com/intl/en_au/news/resources-for-smbs-impacted-by-coronavirus/#!/
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Grassrootz. Report Abuse
Google Forms