Zoho Forms

B.O.B.O.B.S. Vendor Application

Sell on B.O.B.O.B.S.

Zoho CRM *
Email *
N/A
Owner Name
N/A

Required
Title Required First Required Last
Tell us about yourself
N/A

Your story
Company *
N/A
Number of year(s) in Business *
N/A
Number of Employees *
N/A
Company Description *
N/A
Payment address
N/A

Required Street Address Address Line 2 Required City Required State Required Zip Code

Required
Country
Mobile *
N/A

### ### ####
Phone *
N/A

### ### ####
Best time to contact you *
N/A

HH

MM

AM / PM
Company website
N/A

http://www.MyWebSite.com
Facebook Fan Page
N/A

https://www.facebook.com/YourFanPageName
Instagram Page
N/A

https://www.instagram.com/YourUserName
What is your Annually revenue? *
N/A
What is your future revenue goal? *
N/A
Offering *
N/A

Products
Services

N/A

Are you currently selling Products? Are you currently selling Products?
Product Category *
N/A

Select the category where the majority of your products will be listed
Other Categories *
N/A
Number of Products to list *
N/A
Lead Time between the placement of an order and shipping? *
N/A

1 - 2 business days
2 - 3 business days
3 - 5 business days
5 to 10 business days
10 to 14 business days
2 to 4 Weeks

N/A

Are you currently offering services at this time? Are you currently offering services at this time?
Service Category *
N/A
Other Category
N/A
Number of Services Provided *
N/A
Time Zone
N/A
Lead Time between Service Request date and Service Schedule date? *
N/A

1 - 2 business days
2 - 3 business days
3 - 5 business days
5 to 10 business days
10 to 14 business days
2 to 4 Weeks
Other
Main Service Location
N/A

Street Address Address Line 2 City State/Region/Province Postal / Zip Code

Location used by customer to find areas you service.
Is your Business protected by a General Liability Insurance policy?
N/A

Yes, $50k - $100K
Yes, $100k - $250K
Yes, $250k - $500K
Yes, $500,000 - $1M+
No

N/A

I'm a Black-Owned and Operated Business I'm a Black-Owned and Operated Business
N/A

I'm a Black-Owned, Black-Operated, Business Supporter * I'm a Black-Owned, Black-Operated, Business Supporter Required
N/A

Are you interest in learning about loans and Grants Are you interest in learning about loans and Grants
Terms and Conditions *
N/A

I have read and accepted the terms and conditions of the B.O.B.O.B.S. Service Agreement, Conditions of Use, Privacy Notice
Signature *
N/A

E-Signature Field
Clear
Date-Time *
N/A

MM/dd/yyyy HH:MM AM/PM
Conference *
N/A

1/4

2/4

3/4

4/4

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