Submit Your Business

Name *

First

Last

Are you in a position to make decisions for the business or organization? *

Yes
No

If you are not the founder/owner, partner, or PR/Marketing, please stop and go to the contact form to make a recommendation.

Other Persons Authorized to request changes *

Please list anyone who is in a position to makes changes for Organization or Business if other than yourself

Business or Organization Name *

Categories *

Choose up to 3 ONLY

Title *

Owner
Founder
Artist
Author

Please choose a title for profile.

Owner(s)/Founder(s)/Artist(s)/Author's Name *

Separate by commas if multiple.

City *

State *

Country (if International)

Are you online? (E-commerce, online store or boutique, orders or services online)

Yes
No

Email *

Email

Confirm Email

Please put direct email to Owner/Founder or PR. This is for TheMGB use only and will not be displayed on profile.

Address (If Applicable)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

For BRICK & MORTARS ONLY. Please do not include any personal address or PO Box.

Business Email

This will be displayed on profile. Do not include if email is not monitored.

Business Phone

This will be displayed on profile. DO Not Include a personal number.

Website / URL

Facebook / URL

Ex: www.facebook.com/Facebook Page Name

Instagram / URL

Ex: www.instagram.com/instagram handle

Donation / URL (Nonprofit Organization Only)

GoFundMe, Crowd Funding, Cashapp, Venmo, Direct Donation URL. DO NOT include if your business is not a nonprofit organization

Other / URL

Linkedin, Pinterest, Etsy, Spotify, Youtube etc

Featured Text *

140 characters max. This will be displayed on browse page.

Business Bio *

250 words max. This will be displayed on profile.

Listing Photos *

Click or drag files to this area to upload. You can upload up to 5 files.

You can have up to 5 photos for your listing, we recommend, 1 logo or headshot for your featured photo and 4 additional photos for the listing

By Clicking "agree" below you are stating that your business or organization is at least 50% Black Owned or Founded. Please note that if we find that your business is not Black Owned the $10 membership fee will be a donation to our "Road to Success Small Black Business Grant" *

Agree

How did you hear about The Modern Green Book? *

If other, please let us know how you heard about TheMGB

Comments, Questions, or Concerns