Indigenous-Owned Businesses

Owner First Name

Owner Last Name

Company Name

Company Email

Company Phone

Date Established

Physical Address (or web address if web-based)

Business Type:

Sole Proprietor

LP

LLP

LLC

C Corp

S Corp

B Corp

Close Corporation

Nonprofit Corporation

Cooperative

Please list products or services provided:

Please enter any SBA Designation(s) here:

Please enter any certification(s) here:

Paypal or Venmo Link: