Name of artisanal products and all companies and/or stores:
Address of office or principal location:
Please list any additional locations:
Describe your artisanal specialty, products and offerings:
How many years have you been in business under the current name?
Please describe the size of your business:
Prior to the existence of your current business, have any of the principals, partners or owners ever been engaged in this or similar enterprises under a different name?
If you answered yes to the previous question, please provide details:
Please provide the name, title, phone number, and email address of the person we may contact:
Please list any previous or planned media appearances (include links when applicable):