JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Open for Business
Despite the coronavirus, we are open for business!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of your Wantage Business
*
Your answer
Business Category
Auto / Motorcycle / Fuel / Service
Child Care / Disability Care Centers
Construction: Commercial/Residental
Farm & Animal
Food and Beverage
Health/Fitness/Recreation
Medical
Personal Services
Professional/Financial Services
Real Estate / Lodging
Retail / Shopping
Misc
Other:
Clear selection
Modified hours of operation
Your answer
Does the business offer:
Online ordering
Curbside pickup
Home delivery
Phone-in orders
Other:
How should a customer get in touch?
Phone
Email
website
Other:
Contact phone number
Your answer
Contact email
Your answer
Contact website URL
Your answer
Contact - other info
Your answer
Use this area for additional modified business info
Your answer
Name of person submitting this form
*
Your answer
Email of person submitting this form
*
Your answer
Physical Wantage address of this business
*
Your answer
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
