Business Directory Application

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 25 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

Shopping

Food & Drink

Health & Recreation

Services

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. The posted size will be 375 px wide by 250 px high. NOTE: incorrectly sized submitted images will be cropped to fit.

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 physically located in Branchville this business will not be listed in the Branchville Business Directory.

Phone

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

Branchville Business Directory Application

Step 1

Contact Information