MESO Business Directory Confirmation Form

MESO wants to PROMOTE YOUR BUSINESS on our website!

Please review and update any information you see below in order to be added to our business directory which will be available on our website.

If you are no longer in business, or have multiple businesses, please reach out to us directly in order to update our records and add (or remove) you from the directory. Contact Meaghan at mevans@mesopdx.org.

First Name

Last Name

Preferred Email

Preferred Phone

Personal Email

Mobile Phone

Work Email

Work Phone

Alternate Email

Home Phone

Business Name

Does your business have a physical location?

YesNo

Business Street Address

City

State

Zip/Postal Code

Business Phone (This will be listed on the directory. It can be same as your phone if you do not have a direct/different line to your business)

Business Email (can be the same as your personal/work email if you do not have a generic business email like 'info@mybusiness.com')

My business has a...

WebsiteFacebook PageInstagram Page/AccountNone of These

Business Website

Facebook link for business (if you have a Facebook page for your business)

Instagram link/handle (for your business)

Type of Business (this will be a filter for our directly. Choose the option that best corresponds to your business)

Description of the Business

Please upload your business logo

CONTACT ID

PRIMARY AFFILIATION ID

Contact Information