* Your Name
Brief description of your business
By checking the box below I am consenting to, and confirm I am authorized to, submit my business name, description and location represented on the City of Women Woman-Owned Small Business Map (the “Map”).
I hereby agree to waive and release City of Women and its administrators, agents, owners, volunteers or employees from any and all liability, claims, demands, losses, damages or injuries resulting from my and/or my business’s use of or presence on the Map.
I further agree to indemnify, save and hold harmless City of Women and its administrators, agents, owners, volunteers or employees from any legal fees, losses, liabilities, damages, or costs resulting from my and/or my business’s use of or presence on the Map.
I understand that I may withdraw my consent at any time via written communication to City of Women and there is no penalty for withdrawing my consent.
Thank you! As a next step, we ask that you submit a copy of your MBL to email@example.com We'll keep it 100% private, but we do need to verify that your business is majority-owned by women - we are working hard so as not to misrepresent anyone, and accuracy matters to us. If you feel uncomfortable with this request, please get in touch and we'll work out another way to prove ownership. Thank you again for your interest in this project. We're committed to putting women on the map. Yours, Melissa & Christine firstname.lastname@example.org