[et_pb_section bb_built=”1″ _builder_version=”3.10.1″ use_background_color_gradient=”on” background_color_gradient_start=”rgba(0,0,0,0.29)” background_color_gradient_end=”rgba(0,0,0,0.29)” background_color_gradient_overlays_image=”on” background_image=”https://theblockislandapp.com/wp-content/uploads/2018/06/412282_3310174921678_1808683486_o.jpg” next_background_color=”#ffffff”][et_pb_row _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.4.1″ text_font=”Poppins|100|||||||” text_text_color=”#ffffff” text_font_size=”66px” text_font_size_phone=”36″ text_font_size_last_edited=”on|desktop” text_line_height=”1.1em” header_font=”Poppins||||||||” background_size=”initial” background_position=”top_left” background_repeat=”repeat” max_width=”98%” custom_margin=”24px||0px|” custom_css_main_element=”font-weight:300;” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]
Business Listing Form
[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built=”1″ _builder_version=”3.0.47″ custom_padding=”3px|0px|54px|0px|false|false” prev_background_color=”#000000″][et_pb_row custom_padding=”19px|0px|27px|0px|false|false” _builder_version=”3.0.48″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″][et_pb_contact_form email=”[email protected]” custom_message=”Business Name: %%business%%||et_pb_line_break_holder||||et_pb_line_break_holder||Business Phone: %%Phone%%||et_pb_line_break_holder||||et_pb_line_break_holder||Business Address: %%address%%||et_pb_line_break_holder||||et_pb_line_break_holder||Business Type: %%type%%||et_pb_line_break_holder||||et_pb_line_break_holder||Website: %%website%%||et_pb_line_break_holder||||et_pb_line_break_holder||Contact Name: %%Name%%||et_pb_line_break_holder||||et_pb_line_break_holder||Contact Phone: %%cphone%%||et_pb_line_break_holder||||et_pb_line_break_holder||Contact Email: %%Email%%||et_pb_line_break_holder||||et_pb_line_break_holder||New Photo: %%photo%%||et_pb_line_break_holder||||et_pb_line_break_holder||Business Description: %%description%%||et_pb_line_break_holder||||et_pb_line_break_holder||Hours Of Operation: %%hours%%||et_pb_line_break_holder||||et_pb_line_break_holder||Payments Accepted: %%payments%%||et_pb_line_break_holder||||et_pb_line_break_holder||Enhanced Listing Features: %%enhanced%%||et_pb_line_break_holder||||et_pb_line_break_holder||” use_redirect=”on” redirect_url=”https://theblockislandapp.com/thank-you/” module_id=”et_pb_contact_form_0″ _builder_version=”3.11″ custom_margin=”70px|||”][et_pb_contact_field field_id=”business” field_title=”Business Name” max_length=”53″ _builder_version=”3.10.1″][/et_pb_contact_field][et_pb_contact_field field_id=”Phone” field_title=”Business Phone” required_mark=”off” _builder_version=”3.10.1″][/et_pb_contact_field][et_pb_contact_field field_id=”address” field_title=”Business Address” max_length=”53″ required_mark=”off” fullwidth_field=”on” _builder_version=”3.10.1″][/et_pb_contact_field][et_pb_contact_field field_id=”type” field_title=”Type Of Business (select the one that best represents your business)” field_type=”select” select_options=”%91{%22value%22:%22Professional Service%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Public Service%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Restaurant & Bar%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Store%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Art Gallery%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%22Sports & Recreation%22,%22checked%22:0,%22dragID%22:5},{%22value%22:%22Spa & Wellness%22,%22checked%22:0,%22dragID%22:6},{%22value%22:%22Transportation%22,%22checked%22:0,%22dragID%22:8},{%22value%22:%22Weddings%22,%22checked%22:0,%22dragID%22:9},{%22value%22:%22Landmark%22,%22checked%22:0,%22dragID%22:11},{%22value%22:%22Other%22,%22checked%22:0,%22dragID%22:10}%93″ _builder_version=”3.10.1″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”website” field_title=”Website or Facebook Link” required_mark=”off” _builder_version=”3.10.1″][/et_pb_contact_field][et_pb_contact_field field_id=”Name” field_title=”Contact Name” _builder_version=”3.9″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”cphone” field_title=”Contact Phone” _builder_version=”3.10.1″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Email Address” field_type=”email” required_mark=”off” _builder_version=”3.10.1″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”photo” field_title=”New Photo (Yes/No) – Please Email To [email protected]” field_type=”select” required_mark=”off” _builder_version=”3.10.1″ border_radii=”on||||” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″][/et_pb_contact_field][et_pb_contact_field field_id=”description” field_title=”Business Description (100 Word Limit)” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”3.10.1″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”hours” field_title=”Hours Of Operation (Please Put Hours For Each Day Of The Week) ” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”3.10.1″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”payments” field_title=”Payments Accepted (Check All That Apply)” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22Cash Only%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Visa%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Mastercard%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22American Express%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Discover%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”3.10.1″][/et_pb_contact_field][et_pb_contact_field field_id=”enhanced” field_title=”Enhanced Listing Features Of Interest (Check All That Apply)” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22Longer Description%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Multiple Photos & Links%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Push Notifications To Phones%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Event Listings%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Smart Coupons%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Loyalty Card System%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%22Homepage Listing%22,%22checked%22:0,%22dragID%22:5},{%22value%22:%22Menus or Schedules%22,%22checked%22:0,%22dragID%22:6},{%22value%22:%22Custom Article/Event%22,%22checked%22:0,%22dragID%22:7}%93″ required_mark=”off” _builder_version=”3.10.1″][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]