Business Registration

Fill out this form for listing on our public directory and for Marda Loop BIA contact purposes.

"*" indicates required fields

Business Name*

Business Phone Number

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address the same as the business address?

Yes

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Website

Business Primary Category

Optional Sub Category 2

Optional Sub Category 3

Looking for a category that is not on the list? Enter it below.

Business Description for Public Directory

Listing Image

Please upload a primary business image or logo. Horizontal images, 4:3 - 16:9, work best. Not too tall or too wide. Please make your images a minimum 650x300px and maximum 2MB.

Max. file size: 2 MB.

Additional Info:

Please provide the following information for Marda Loop BIA contact purposes. This is for internal use only and will not be on the public website.

Main Business Contact Person

First Last

Main Business Email

Position (e.g. owner, manager, other)

Add A Second Contact?

Yes

Additional Contact Name

First Last

Additional Contact Email

Additional Contact Position (e.g. owner, manager, other)

Marketing/Social Media Contact

Same as Above

Different from Above

Marketing/Social Media Contact Name

First Last

Marketing/Social Media Contact Email

Marketing/Social Media Contact Phone

Youtube Channel Address

Facebook Page Address

Instagram Handle

Twitter Handle

Other Social

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Comments

This field is for validation purposes and should be left unchanged.