{"id":4492,"date":"2020-09-06T04:24:20","date_gmt":"2020-09-06T04:24:20","guid":{"rendered":"http:\/\/moderngreenbook.net\/?page_id=4492"},"modified":"2020-10-14T23:53:20","modified_gmt":"2020-10-14T23:53:20","slug":"submit-your-business-2","status":"publish","type":"page","link":"https:\/\/moderngreenbook.net\/index.php\/submit-your-business-2\/","title":{"rendered":"Submit Your Business"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;3.22&#8243;][et_pb_fullwidth_header title=&#8221;submit your business&#8221; _builder_version=&#8221;3.19.18&#8243; title_font=&#8221;Nunito|||on|||||&#8221; title_text_align=&#8221;right&#8221; title_font_size=&#8221;50px&#8221; background_image=&#8221;http:\/\/moderngreenbook.net\/wp-content\/uploads\/2020\/07\/pageheader.jpg&#8221; custom_padding=&#8221;150px||150px&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.5.6&#8243; background_color=&#8221; #fdfdfd&#8221; custom_padding=&#8221;||250px||false|false&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.5.6&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; hover_enabled=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">Use the form below to submit your business for consideration in The Modern Green Book.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Already have a profile?<\/strong> Click <a href=\"http:\/\/moderngreenbook.net\/index.php\/request-a-change\/\">here<\/a> to suggest an update.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_button button_text=&#8221;Community Guidelines&#8221; _builder_version=&#8221;4.5.6&#8243; _module_preset=&#8221;default&#8221; button_url=&#8221;https:\/\/moderngreenbook.net\/wp-content\/uploads\/2020\/10\/Community-Guidelines-1.pdf&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#77815c&#8221; button_border_color=&#8221;#77815c&#8221; button_use_icon=&#8221;off&#8221; button_alignment=&#8221;left&#8221; hover_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.5.6&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.5.6&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.5.6&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<p><span><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1012\"><form id=\"wpforms-form-1012\" class=\"wpforms-validate wpforms-form\" data-formid=\"1012\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/4492?wpforms_form_id=1012\" data-token=\"b6ebeb18b3d48bedb463e9fabc7b52fa\" data-token-time=\"1779144809\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1012-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1012-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-1012-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1012-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-1012-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1012-field_4-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Are you in a position to make decisions for the business or organization? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_4_1\" name=\"wpforms[fields][4]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_4_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_4_2\" name=\"wpforms[fields][4]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_4_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">If you are not the founder\/owner, partner, or PR\/Marketing, please stop and go to the contact form to make a recommendation.<\/div><\/div><div id=\"wpforms-1012-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_26\">Other Persons Authorized to request changes <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1012-field_26\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/textarea><div class=\"wpforms-field-description\">Please list anyone who is in a position to makes changes for Organization or Business if other than yourself<\/div><\/div><div id=\"wpforms-1012-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_5\">Business or Organization Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-1012-field_22-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Categories  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_22\" class=\"wpforms-field-required\"><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_22\" name=\"wpforms[fields][22][]\" value=\"Nonprofit organization\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_22\">Nonprofit organization<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_23\" name=\"wpforms[fields][22][]\" value=\"Beauty\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_23\">Beauty<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_24\" name=\"wpforms[fields][22][]\" value=\"Health &amp; Wellness\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_24\">Health &amp; Wellness<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_25\" name=\"wpforms[fields][22][]\" value=\"Women\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_25\">Women<\/label><\/li><li class=\"choice-26 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_26\" name=\"wpforms[fields][22][]\" value=\"Men\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_26\">Men<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_27\" name=\"wpforms[fields][22][]\" value=\"Children\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_27\">Children<\/label><\/li><li class=\"choice-28 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_28\" name=\"wpforms[fields][22][]\" value=\"Literary &amp; Education\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_28\">Literary &amp; Education<\/label><\/li><li class=\"choice-29 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_29\" name=\"wpforms[fields][22][]\" value=\"Home\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_29\">Home<\/label><\/li><li class=\"choice-30 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_30\" name=\"wpforms[fields][22][]\" value=\"Auto\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_30\">Auto<\/label><\/li><li class=\"choice-31 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_31\" name=\"wpforms[fields][22][]\" value=\"Legal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_31\">Legal<\/label><\/li><li class=\"choice-32 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_32\" name=\"wpforms[fields][22][]\" value=\"Insurance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_32\">Insurance<\/label><\/li><li class=\"choice-33 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_33\" name=\"wpforms[fields][22][]\" value=\"Finance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_33\">Finance<\/label><\/li><li class=\"choice-34 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_34\" name=\"wpforms[fields][22][]\" value=\"Clothing &amp; Accessories\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_34\">Clothing &amp; Accessories<\/label><\/li><li class=\"choice-35 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_35\" name=\"wpforms[fields][22][]\" value=\"Nightlife &amp; Entertainment\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_35\">Nightlife &amp; Entertainment<\/label><\/li><li class=\"choice-36 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_36\" name=\"wpforms[fields][22][]\" value=\"Food &amp; Beverage\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_36\">Food &amp; Beverage<\/label><\/li><li class=\"choice-37 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_37\" name=\"wpforms[fields][22][]\" value=\"Events\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_37\">Events<\/label><\/li><li class=\"choice-38 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_38\" name=\"wpforms[fields][22][]\" value=\"Art\/Photography\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_38\">Art\/Photography<\/label><\/li><li class=\"choice-39 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_39\" name=\"wpforms[fields][22][]\" value=\"Services\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_39\">Services<\/label><\/li><li class=\"choice-40 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_40\" name=\"wpforms[fields][22][]\" value=\"Professional\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_40\">Professional<\/label><\/li><li class=\"choice-41 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_41\" name=\"wpforms[fields][22][]\" value=\"Tech\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_41\">Tech<\/label><\/li><li class=\"choice-42 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_42\" name=\"wpforms[fields][22][]\" value=\"Adult\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_42\">Adult<\/label><\/li><li class=\"choice-43 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_43\" name=\"wpforms[fields][22][]\" value=\"Animals\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_43\">Animals<\/label><\/li><li class=\"choice-44 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_44\" name=\"wpforms[fields][22][]\" value=\"Travel\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_44\">Travel<\/label><\/li><li class=\"choice-45 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_45\" name=\"wpforms[fields][22][]\" value=\"Lodging\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_45\">Lodging<\/label><\/li><li class=\"choice-46 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_46\" name=\"wpforms[fields][22][]\" value=\"Horticulture &amp; Farming\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_46\">Horticulture &amp; Farming<\/label><\/li><\/ul><div class=\"wpforms-field-description wpforms-disclaimer-description\">Choose up to 3 ONLY<br \/>\r\n<\/div><\/div><div id=\"wpforms-1012-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Title  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_1\" name=\"wpforms[fields][6]\" value=\"Owner\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_1\">Owner<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_2\" name=\"wpforms[fields][6]\" value=\"Founder\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_2\">Founder<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_3\" name=\"wpforms[fields][6]\" value=\"Artist\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_3\">Artist<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_4\" name=\"wpforms[fields][6]\" value=\"Author \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_4\">Author<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please choose a title for profile.<\/div><\/div><div id=\"wpforms-1012-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_7\">Owner(s)\/Founder(s)\/Artist(s)\/Author&#039;s Name  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><div class=\"wpforms-field-description\">Separate by commas if multiple.<\/div><\/div><div id=\"wpforms-1012-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_8\">City <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-1012-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_9\">State <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-1012-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_10\">Country (if International)<\/label><input type=\"text\" id=\"wpforms-1012-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-1012-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Are you online? (E-commerce, online store or boutique, orders or services online)<\/label><ul id=\"wpforms-1012-field_11\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1012-field_17-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-1012-field_17\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][17][primary]\" spellcheck=\"false\" required><label for=\"wpforms-1012-field_17\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-1012-field_17-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-1012-field_17\" name=\"wpforms[fields][17][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-1012-field_17-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><div class=\"wpforms-field-description\">Please put direct email to Owner\/Founder or PR. This is for TheMGB use only and will not be displayed on profile.<\/div><\/div><div id=\"wpforms-1012-field_12-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Address (If Applicable)<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1012-field_12\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][12][address1]\" ><label for=\"wpforms-1012-field_12\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1012-field_12-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][12][address2]\" ><label for=\"wpforms-1012-field_12-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1012-field_12-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][12][city]\" ><label for=\"wpforms-1012-field_12-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1012-field_12-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][12][state]\" ><label for=\"wpforms-1012-field_12-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1012-field_12-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][12][postal]\" ><label for=\"wpforms-1012-field_12-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1012-field_12-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][12][country]\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-1012-field_12-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><div class=\"wpforms-field-description\">For BRICK & MORTARS ONLY. Please do not include any personal address or PO Box.<\/div><\/div><div id=\"wpforms-1012-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_13\">Business Email<\/label><input type=\"email\" id=\"wpforms-1012-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" spellcheck=\"false\" ><div class=\"wpforms-field-description\">This will be displayed on profile. Do not include if email is not monitored.<\/div><\/div><div id=\"wpforms-1012-field_33-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_33\">Business Phone <\/label><input type=\"tel\" id=\"wpforms-1012-field_33\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][33]\" aria-label=\"Business Phone \" ><div class=\"wpforms-field-description\">This will be displayed on profile. DO Not Include a personal number.<\/div><\/div><div id=\"wpforms-1012-field_18-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_18\">Website \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-1012-field_19-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_19\">Facebook \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><div class=\"wpforms-field-description\">Ex: www.facebook.com\/Facebook Page Name<\/div><\/div><div id=\"wpforms-1012-field_20-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_20\">Instagram \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><div class=\"wpforms-field-description\">Ex: www.instagram.com\/instagram handle<\/div><\/div><div id=\"wpforms-1012-field_23-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_23\">Donation \/ URL (Nonprofit Organization Only)<\/label><input type=\"url\" id=\"wpforms-1012-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><div class=\"wpforms-field-description\">GoFundMe, Crowd Funding, Cashapp, Venmo, Direct Donation URL. DO NOT include if your business is not a nonprofit organization<\/div><\/div><div id=\"wpforms-1012-field_21-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_21\">Other \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><div class=\"wpforms-field-description\">Linkedin, Pinterest, Etsy, Spotify, Youtube etc<\/div><\/div><div id=\"wpforms-1012-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_28\">Featured Text <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1012-field_28\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1012\" data-field-id=\"28\" data-text-limit=\"140\" name=\"wpforms[fields][28]\" maxlength=\"140\" required><\/textarea><div class=\"wpforms-field-description\">140 characters max. This will be displayed on browse page.<\/div><\/div><div id=\"wpforms-1012-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_24\">Business Bio  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1012-field_24\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-words-enabled\" data-form-id=\"1012\" data-field-id=\"24\" data-text-limit=\"250\" name=\"wpforms[fields][24]\" required><\/textarea><div class=\"wpforms-field-description\">250 words max. This will be displayed on profile. <\/div><\/div><div id=\"wpforms-1012-field_37-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_37\">Listing Photos <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"37\"\n\t\tdata-form-id=\"1012\"\n\t\tdata-input-name=\"wpforms_1012_37\"\n\t\tdata-extensions=\"jpeg,jpg,png\"\n\t\tdata-max-size=\"1073741824\"\n\t\tdata-max-file-number=\"5\"\n\t\tdata-post-max-size=\"1073741824\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 5 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1012-field_37\"\n\t\tname=\"wpforms_1012_37\" required\t\tvalue=\"\">\n<div class=\"wpforms-field-description\">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  <\/div><\/div><div id=\"wpforms-1012-field_27-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"27\"><label class=\"wpforms-field-label\">By Clicking &quot;agree&quot; 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 &quot;Road to Success Small Black Business Grant&quot; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_27_1\" name=\"wpforms[fields][27][]\" value=\"Agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_27_1\">Agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-1012-field_30-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_30\">How did you hear about The Modern Green Book? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1012-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required=\"required\"><option value=\"Friend or Family Member \" >Friend or Family Member<\/option><option value=\"Other Business Listed with TheMGB\" >Other Business Listed with TheMGB<\/option><option value=\"Instagram \" >Instagram<\/option><option value=\"Facebook\" >Facebook<\/option><option value=\"Xavian Tate - Ambassador\" >Xavian Tate - Ambassador<\/option><option value=\"Jeffrey Kelly - Writer\" >Jeffrey Kelly - Writer<\/option><option value=\"Candace Green - Writer\" >Candace Green - Writer<\/option><option value=\"Myra Davis Branic - Writer\" >Myra Davis Branic - Writer<\/option><option value=\"Tayler Simon - Writer\" >Tayler Simon - Writer<\/option><option value=\"Joell Regal - Writer\" >Joell Regal - Writer<\/option><\/select><\/div><div id=\"wpforms-1012-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_31\">If other, please let us know how you heard about TheMGB<\/label><input type=\"text\" id=\"wpforms-1012-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-1012-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_32\">Comments, Questions, or Concerns<\/label><textarea id=\"wpforms-1012-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1012\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/pages\/4492\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1012\" class=\"wpforms-submit\" data-alt-text=\"Please wait to be redirected to the pay screen!\" data-submit-text=\"Submit &amp; Pay (Redirected Via Square)\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit &amp; Pay (Redirected Via Square)<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Use the form below to submit your business for consideration in The Modern Green Book.\u00a0 Already have a profile? Click here to suggest an update. &nbsp;<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1012\"><form id=\"wpforms-form-1012\" class=\"wpforms-validate wpforms-form\" data-formid=\"1012\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/4492?wpforms_form_id=1012\" data-token=\"b6ebeb18b3d48bedb463e9fabc7b52fa\" data-token-time=\"1779144809\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1012-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1012-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-1012-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1012-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-1012-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1012-field_4-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Are you in a position to make decisions for the business or organization? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_4_1\" name=\"wpforms[fields][4]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_4_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_4_2\" name=\"wpforms[fields][4]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_4_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">If you are not the founder\/owner, partner, or PR\/Marketing, please stop and go to the contact form to make a recommendation.<\/div><\/div><div id=\"wpforms-1012-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_26\">Other Persons Authorized to request changes <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1012-field_26\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/textarea><div class=\"wpforms-field-description\">Please list anyone who is in a position to makes changes for Organization or Business if other than yourself<\/div><\/div><div id=\"wpforms-1012-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_5\">Business or Organization Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-1012-field_22-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Categories  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_22\" class=\"wpforms-field-required\"><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_22\" name=\"wpforms[fields][22][]\" value=\"Nonprofit organization\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_22\">Nonprofit organization<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_23\" name=\"wpforms[fields][22][]\" value=\"Beauty\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_23\">Beauty<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_24\" name=\"wpforms[fields][22][]\" value=\"Health &amp; Wellness\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_24\">Health &amp; Wellness<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_25\" name=\"wpforms[fields][22][]\" value=\"Women\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_25\">Women<\/label><\/li><li class=\"choice-26 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_26\" name=\"wpforms[fields][22][]\" value=\"Men\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_26\">Men<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_27\" name=\"wpforms[fields][22][]\" value=\"Children\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_27\">Children<\/label><\/li><li class=\"choice-28 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_28\" name=\"wpforms[fields][22][]\" value=\"Literary &amp; Education\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_28\">Literary &amp; Education<\/label><\/li><li class=\"choice-29 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_29\" name=\"wpforms[fields][22][]\" value=\"Home\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_29\">Home<\/label><\/li><li class=\"choice-30 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_30\" name=\"wpforms[fields][22][]\" value=\"Auto\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_30\">Auto<\/label><\/li><li class=\"choice-31 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_31\" name=\"wpforms[fields][22][]\" value=\"Legal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_31\">Legal<\/label><\/li><li class=\"choice-32 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_32\" name=\"wpforms[fields][22][]\" value=\"Insurance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_32\">Insurance<\/label><\/li><li class=\"choice-33 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_33\" name=\"wpforms[fields][22][]\" value=\"Finance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_33\">Finance<\/label><\/li><li class=\"choice-34 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_34\" name=\"wpforms[fields][22][]\" value=\"Clothing &amp; Accessories\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_34\">Clothing &amp; Accessories<\/label><\/li><li class=\"choice-35 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_35\" name=\"wpforms[fields][22][]\" value=\"Nightlife &amp; Entertainment\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_35\">Nightlife &amp; Entertainment<\/label><\/li><li class=\"choice-36 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_36\" name=\"wpforms[fields][22][]\" value=\"Food &amp; Beverage\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_36\">Food &amp; Beverage<\/label><\/li><li class=\"choice-37 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_37\" name=\"wpforms[fields][22][]\" value=\"Events\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_37\">Events<\/label><\/li><li class=\"choice-38 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_38\" name=\"wpforms[fields][22][]\" value=\"Art\/Photography\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_38\">Art\/Photography<\/label><\/li><li class=\"choice-39 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_39\" name=\"wpforms[fields][22][]\" value=\"Services\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_39\">Services<\/label><\/li><li class=\"choice-40 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_40\" name=\"wpforms[fields][22][]\" value=\"Professional\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_40\">Professional<\/label><\/li><li class=\"choice-41 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_41\" name=\"wpforms[fields][22][]\" value=\"Tech\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_41\">Tech<\/label><\/li><li class=\"choice-42 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_42\" name=\"wpforms[fields][22][]\" value=\"Adult\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_42\">Adult<\/label><\/li><li class=\"choice-43 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_43\" name=\"wpforms[fields][22][]\" value=\"Animals\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_43\">Animals<\/label><\/li><li class=\"choice-44 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_44\" name=\"wpforms[fields][22][]\" value=\"Travel\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_44\">Travel<\/label><\/li><li class=\"choice-45 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_45\" name=\"wpforms[fields][22][]\" value=\"Lodging\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_45\">Lodging<\/label><\/li><li class=\"choice-46 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_22_46\" name=\"wpforms[fields][22][]\" value=\"Horticulture &amp; Farming\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_22_46\">Horticulture &amp; Farming<\/label><\/li><\/ul><div class=\"wpforms-field-description wpforms-disclaimer-description\">Choose up to 3 ONLY<br \/>\r\n<\/div><\/div><div id=\"wpforms-1012-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Title  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_1\" name=\"wpforms[fields][6]\" value=\"Owner\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_1\">Owner<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_2\" name=\"wpforms[fields][6]\" value=\"Founder\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_2\">Founder<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_3\" name=\"wpforms[fields][6]\" value=\"Artist\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_3\">Artist<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_6_4\" name=\"wpforms[fields][6]\" value=\"Author \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_6_4\">Author<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please choose a title for profile.<\/div><\/div><div id=\"wpforms-1012-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_7\">Owner(s)\/Founder(s)\/Artist(s)\/Author&#039;s Name  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><div class=\"wpforms-field-description\">Separate by commas if multiple.<\/div><\/div><div id=\"wpforms-1012-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_8\">City <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-1012-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_9\">State <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1012-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-1012-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_10\">Country (if International)<\/label><input type=\"text\" id=\"wpforms-1012-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-1012-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Are you online? (E-commerce, online store or boutique, orders or services online)<\/label><ul id=\"wpforms-1012-field_11\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1012-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1012-field_17-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"17\"><label class=\"wpforms-field-label\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-1012-field_17\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][17][primary]\" spellcheck=\"false\" required><label for=\"wpforms-1012-field_17\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-1012-field_17-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-1012-field_17\" name=\"wpforms[fields][17][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-1012-field_17-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><div class=\"wpforms-field-description\">Please put direct email to Owner\/Founder or PR. This is for TheMGB use only and will not be displayed on profile.<\/div><\/div><div id=\"wpforms-1012-field_12-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Address (If Applicable)<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1012-field_12\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][12][address1]\" ><label for=\"wpforms-1012-field_12\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1012-field_12-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][12][address2]\" ><label for=\"wpforms-1012-field_12-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1012-field_12-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][12][city]\" ><label for=\"wpforms-1012-field_12-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1012-field_12-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][12][state]\" ><label for=\"wpforms-1012-field_12-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1012-field_12-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][12][postal]\" ><label for=\"wpforms-1012-field_12-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1012-field_12-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][12][country]\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-1012-field_12-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><div class=\"wpforms-field-description\">For BRICK & MORTARS ONLY. Please do not include any personal address or PO Box.<\/div><\/div><div id=\"wpforms-1012-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_13\">Business Email<\/label><input type=\"email\" id=\"wpforms-1012-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" spellcheck=\"false\" ><div class=\"wpforms-field-description\">This will be displayed on profile. Do not include if email is not monitored.<\/div><\/div><div id=\"wpforms-1012-field_33-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_33\">Business Phone <\/label><input type=\"tel\" id=\"wpforms-1012-field_33\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][33]\" aria-label=\"Business Phone \" ><div class=\"wpforms-field-description\">This will be displayed on profile. DO Not Include a personal number.<\/div><\/div><div id=\"wpforms-1012-field_18-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_18\">Website \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-1012-field_19-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_19\">Facebook \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><div class=\"wpforms-field-description\">Ex: www.facebook.com\/Facebook Page Name<\/div><\/div><div id=\"wpforms-1012-field_20-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_20\">Instagram \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><div class=\"wpforms-field-description\">Ex: www.instagram.com\/instagram handle<\/div><\/div><div id=\"wpforms-1012-field_23-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_23\">Donation \/ URL (Nonprofit Organization Only)<\/label><input type=\"url\" id=\"wpforms-1012-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><div class=\"wpforms-field-description\">GoFundMe, Crowd Funding, Cashapp, Venmo, Direct Donation URL. DO NOT include if your business is not a nonprofit organization<\/div><\/div><div id=\"wpforms-1012-field_21-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_21\">Other \/ URL<\/label><input type=\"url\" id=\"wpforms-1012-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><div class=\"wpforms-field-description\">Linkedin, Pinterest, Etsy, Spotify, Youtube etc<\/div><\/div><div id=\"wpforms-1012-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_28\">Featured Text <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1012-field_28\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"1012\" data-field-id=\"28\" data-text-limit=\"140\" name=\"wpforms[fields][28]\" maxlength=\"140\" required><\/textarea><div class=\"wpforms-field-description\">140 characters max. This will be displayed on browse page.<\/div><\/div><div id=\"wpforms-1012-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_24\">Business Bio  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1012-field_24\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-words-enabled\" data-form-id=\"1012\" data-field-id=\"24\" data-text-limit=\"250\" name=\"wpforms[fields][24]\" required><\/textarea><div class=\"wpforms-field-description\">250 words max. This will be displayed on profile. <\/div><\/div><div id=\"wpforms-1012-field_37-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_37\">Listing Photos <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"37\"\n\t\tdata-form-id=\"1012\"\n\t\tdata-input-name=\"wpforms_1012_37\"\n\t\tdata-extensions=\"jpeg,jpg,png\"\n\t\tdata-max-size=\"1073741824\"\n\t\tdata-max-file-number=\"5\"\n\t\tdata-post-max-size=\"1073741824\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 5 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1012-field_37\"\n\t\tname=\"wpforms_1012_37\" required\t\tvalue=\"\">\n<div class=\"wpforms-field-description\">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  <\/div><\/div><div id=\"wpforms-1012-field_27-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"27\"><label class=\"wpforms-field-label\">By Clicking &quot;agree&quot; 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 &quot;Road to Success Small Black Business Grant&quot; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1012-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1012-field_27_1\" name=\"wpforms[fields][27][]\" value=\"Agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1012-field_27_1\">Agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-1012-field_30-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_30\">How did you hear about The Modern Green Book? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1012-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" required=\"required\"><option value=\"Friend or Family Member \" >Friend or Family Member<\/option><option value=\"Other Business Listed with TheMGB\" >Other Business Listed with TheMGB<\/option><option value=\"Instagram \" >Instagram<\/option><option value=\"Facebook\" >Facebook<\/option><option value=\"Xavian Tate - Ambassador\" >Xavian Tate - Ambassador<\/option><option value=\"Jeffrey Kelly - Writer\" >Jeffrey Kelly - Writer<\/option><option value=\"Candace Green - Writer\" >Candace Green - Writer<\/option><option value=\"Myra Davis Branic - Writer\" >Myra Davis Branic - Writer<\/option><option value=\"Tayler Simon - Writer\" >Tayler Simon - Writer<\/option><option value=\"Joell Regal - Writer\" >Joell Regal - Writer<\/option><\/select><\/div><div id=\"wpforms-1012-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_31\">If other, please let us know how you heard about TheMGB<\/label><input type=\"text\" id=\"wpforms-1012-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" ><\/div><div id=\"wpforms-1012-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-1012-field_32\">Comments, Questions, or Concerns<\/label><textarea id=\"wpforms-1012-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1012\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/pages\/4492\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1012\" class=\"wpforms-submit\" data-alt-text=\"Please wait to be redirected to the pay screen!\" data-submit-text=\"Submit &amp; Pay (Redirected Via Square)\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit &amp; Pay (Redirected Via Square)<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-4492","page","type-page","status-publish","hentry"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/PcdWV6-1as","_links":{"self":[{"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/pages\/4492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/comments?post=4492"}],"version-history":[{"count":9,"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/pages\/4492\/revisions"}],"predecessor-version":[{"id":6843,"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/pages\/4492\/revisions\/6843"}],"wp:attachment":[{"href":"https:\/\/moderngreenbook.net\/index.php\/wp-json\/wp\/v2\/media?parent=4492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}