Business Directory Application

1Business Information

2Business Contact Information

3Submit your business

Confirm this is a Branchville business.(Required)

Businesses MUST be physically located in Branchville to be listed on the directory. If this business has a Branchville mailing address but is located in another municipality, please do not fill out this application.

Yes, this business is physically located in the Borough of Branchville.

Step 1

Tell us about your business

Business Name(Required)

Use the “trading as” name for name recognition. Limit of 27 characters for listing.

Business Location(Required)

Branchville street address

Business Website

OPTIONAL. Please enter a professional business website, “YourBusinessName.com” NOT a social media page such as Facebook, nor a business “finder” website, nor a rating site such as Yelp. Only actual business websites will be linked.

Business Phone(Required)

A phone number with a Branchville exchange (948) reinforces that you are an actual Branchville business.

Business Email

Business Category

Auto/Motor

Care

Construction

Animal/Pet

Food & Beverage

Health/Fitness/Recreation

Personal Service

Professional Service

Real Estate

Retail

Other

Auto/Motor Speciality

Fuel

Motorcycle

Repair

Service

Sales

Towing

Tires

Other

Construction Speciality

Electrical

Excavating

General Contractor

Heating & Cooling

Landscaping

Masonry

Plumbing

Remodeling

Sales

Other

Food/Beverage Category

bar/liquor sales

restaurant

retail food sale

Other

Care Speciality

Child Care

Elderly Care

Pet Care

Disability Support

Home Health Aide

Other

Personal Care Speciality

Hairdresser/Barber

Massage

Personal Trainer

Tutor

Other

Professional Service Speciality

Accountanting

Consulting

Engineering

Financial

Healthcare

Information Technology

Legal

Other

Additional business information

If you have any additional information about your business that you would like us to know, please use the field below for that information:

Contact Information

This information is not posted; it is for our records.

Your Name(Required)

First Last

Your Email(Required)

Your Phone Number(Required)

Your position in this business(Required)

What is your association with this business? Owner? Manager?

Legal Name of Business

Enter the legal name of the business if different from the “trading as” name provided in Step 1, Business Information.

Additional Information

If you have any additional information you’d like us to know enter it in the field below.

Upload Your Business Photo

Images must be horizontal/landscape orientated, size ratio 3:2.

Accepted file types: jpg, png, jpeg, webp, Max. file size: 5 MB.

Signature(Required)

By signing below I confirm that the information provided in this application is accurate and truthful to the best of my knowledge. I acknowledge that if this business is not registered at Town Hall or is not located in Wantage this business will not be listed in the Wantage Business Directory.

Name

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

Branchville Business Directory Application

Step 1

Contact Information