Shop Social Business Input Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Our aim is to support BIPOC, LGBTQ and Women owned businesses + nonprofits as much as possible with this list. To keep money circulating in local economies, direct it towards these businesses, and make it easy for us all to be more proactive and intentional with how we choose to spend and who we support. Make as many entries as you like. All are welcome (the focus here is on the North Shore region of Massachusetts but if you have an online business, please add!).

*We are well aware there are many amazing organizations nationally that already exist to support BIPOC businesses and encourage you to support them!! We never want to take away from these organizations--we see there aren't as many localized lists and resources to support BIPOC so this is our attempt to make a contribution.

*Any makers who sell on Amazon, Etsy, etc. are still considered small business by us (as long as they are not the child company of a corporation or subsidiary of a multi-national corp. etc.).

If you see something wrong, please don't be afraid to let us know.

Email *

Name of Business *

Name of Owner

Pronouns

City/State of Business or Online (feel free to say both)

Industry

Website

Is this an Independently owned small business (no companies that have a board, parent, sister, shell, are a 'subsidiary of', are publicly traded, etc.)? *

Yes

Is this business owned in whole or in part by a Person of Color?

Yes

Clear selection

Please Identify:

Black Owned

Hispanic or Latinx Owned

Native American Owned

Asian American Owned

Choose Not to Identify

Is this business owned in whole or in part by a member of the LGBTQ community?

Yes

Not completely, but at least 50%

Clear selection

Is this business owned whole or in part by a Woman?

Yes

Not completely, but at least 50%

Clear selection

Is it a Financial Service and/or Institution (including real estate and mortgages)? *

Yes

Is it a Franchise? *

Yes

Other:

Is there anything else we should know?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms