Please enable JavaScript in your browser to complete this form.LayoutFirst Name *Last Name *Your Position *LayoutRegstered Business Name *Operating Business Name *Business Address Line 1 *Business Address Line 2LayoutBusiness City * Business State/Province *Business Zip/Business Postal Code *LayoutEmail *Phone *LayoutYear Business Established *Number of employees (besides owner) *Geographical areas you service *Your main products and services *Business Revenue in the most recent tax year *Business Revenue in the most recent tax year*Under $100,000Between $100,000 and $200,000Between $200,000 and $300,000Between $300,000 and $400,000Between $400,000 and $500,000Between $500,000 and $600,000Between $600,000 and $1,000,000Between $1,000,000 and $2,000,000Between $2,000,000 and $3,000,000Over $3,000,000Business Website URL *LayoutMeta/Facebook Business Page URLLinkedIn Business Page URLInstagram Business Page URLX/Twitter Business Page URLOther Platforms URL(s) (e.g. Pinterest, Yelp, Houzz, etc):Describe Your current online Marketing: (Check all that apply)No current online marketingOrganic SEOGoogle AdsBing AdsFacebook (paid ads)Facebook (posts)Instagram (paid ads)Instagram (posts)LayoutOnline marketing on other platforms:How did you hear about this grant: *How do you plan to use this grant to enhance your online presence? *Approved Digital Vendor:LayoutDigital Vendor Company Name *Digital Vendor Agent Email *Digital Vendor Agent Name *Digital Vendor Business Website URL *Agree *I am the individual who has principal responsibility for the financial activities of the applying business and have the required knowledge and authority to complete this application on behalf of the Business.Agree 1 *I confirm that I am the owner or employee with signing authority for the applying business.Agree 2 *I consent to participating in the follow-up surveys, to provide information about my experience with the grant, and to have the name of my business published as a recipient of the grant.Agree 3 *I understand that the information provided may also be disclosed to third parties in certain exceptional circumstances as required by law.Agree 4 *I confirm that I have not previously received the Boost Your Business Grant, the Grow Your Business Online Grant, or the Digital Adoption Grant.Submit
