Suggest a Business Thank you for your interest in the Community Business Partners Program. Please use this form to submit information regarding businesses or organizations you would like to see in our program, those you know are offering a discount but do not appear on this page, or questions or other comments. Businesses and organizations are encouraged to complete the form if you are interested in partnering with the college. Thank you. All fields marked with asterisk (*) are required. your_name required text field Your First Name* your_last_name required text field Your Last Name* class_year_if_you_are_selected text field Class year (If your affiliation is alumni or a student) your_email_address required e-mail address field Your Email address* your_affiliation required checkbox field Your Affiliation*If "Other" is selected, please specify in comment box. Student Parent Faculty Staff Business Alumni Other business_or_organization_name required text field Business or Organization Name* reason_for_submission required checkbox field Reason for submission* This business is currently offering a Discount I am suggesting Ursinus a work with this business for a discount The business would like more information I have a question, Issue, or comment location_of_the_business_town required text field Location of the business (Town, Street, or Specific Address is known)* business_or_organization_conta e-mail address field Business or Organization Contact Email business_or_organization_conta text field Business or Organization Contact Name business_or_organization_type required checkbox field Business or Organization Type* Restaurant or Other Food Retail Event or Catering Retail Clothing Retail Books Retail Other Service Provider comment_-_please_include_more textarea field Comment - Please include more information is you selected "Other" above. Link (required) {"upload_max_filesize":"50"}