What's the contact's name for this business? (Owner or Manager)*

First Last

E-mail Address*

Business or organizational email

What’s your business’s full name?*

Do you have a physical address?*

Yes
No

If so, please provide the address:

What county do you call home?*

Kankakee
Iroquois
Will

Describe your business, service and offerings in a brief 1-3 paragraph statement below:*

Do you have a Website for this business?

Do you have a Facebook page for this business?

Do you have a Instagram page for this business?

Do you have a YouTube page for this business?

Do you have a Twitter for this business?

Do you have a Snapchat for this business? If so please provide Snap Scan Code Below

Would you like your business to be listed via Google maps?*

Yes
No

Please select a logo for brand identification on your landing page*

Cover Photo Shot for Landing Page

Please select 4 photos to represent your business or brand:*

Do you have any videos you’d like to showcase on your page? For example, a brand commercial or video testimony? If so link the file below:

Do you have any customer quotes or reviews you’d like to showcase on your page?

Would you like to promote a virtual landing shop page on your page (such as your website “shop now” button?)*

Yes
No
Maybe, at a later date

Do you have any specials going on now you’d like to feature?*

Yes
No
Maybe, at another time

What’s your businesses’ email? Would you like it featured on your page?*

Do you have any links not mentioned you'd like featured on the page?

Do you have an active shop online you’d like to promote directly from your landing page?

Do you have any upcoming events you’d like to promote through your page and the website? If so please list the necessary info below, including date, time, location, and a brief description.

Would you be interested in being highlighted as a business owner by one of our reporters at a future date?*

Heck yes!
Umm....no.

Are you passionate about what you do? Would you be interested in submitting regular articles to promote your business regularly via the Country Herald?*

Yes
No, I'm no writer and have no interest in this idea to promote my business.
Maybe at a later date

If so, please give the best means of contacting you directly below:

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I confirm that I represent this business and or organization.

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