City of Pinole: Business Form

To be listed, the business must either be...

Enter the text contained in the image into the text box:

Business Name:
Contact Name:
Address 1:
Address 2:
City:
State:
Zip:
Brief Description: (2-3 sentences describing your business)
This business qualifies because...
	business is located in Pinole
	business is owned by a Pinole resident
Owner's Address: (will not be published)
Please fill in AT LEAST ONE of the following fields...
Website:
Phone:
Email:
Which information would you like us to publish on the website (check all that apply)...
Business Name Contact Name Business Address Website Phone Email