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2. First & Last Name*
4. Business Name*
6. Business Location*
8. Email*
10. Does your business have social media channels?

    1. Yes
    2. No
12. If yes, please share your social media handles with us.
14. Please select all that apply to your business:

    1. Veteran Owned
    2. Woman Owned
    3. Family Owned
    4. BIPOC Owned
    5. In Citrus Heights Less than One Year
    6. In Citrus Heights Over 20 Years
16. What is something you would like to highlight about your business?
18. Would you be willing to have a member of our staff come and take photos/videos of your business?

    1. Yes
    2. No, I'd prefer to provide my own photos/video
20. Thank You for Your Interest!

    A member of our staff will contact you if we'd like to highlight your business. If you are not contacted right away, it does not indicate you will not be selected.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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