Register - Carolina Black Book

Business registration request form

Before completing this form, please ensure that your business meets the following criteria:

* Is black-owned
* Has a valid South Carolina business license and/or registered business with South Carolina Secretary of State (we may ask for documentation to verify registration of your business)
* Is currently open for business (e.g., dine-in, takeout, delivery, online, etc.)
* Has a social media page (Instagram and/or Facebook)
* Has a website

First Name

Last Name

Business Name (as registered with the SC Secretary of State)

DBA (if applicable)

This business has a valid South Carolina business license and/or is a registered business with South Carolina Secretary of State

This business is black-owned

This business is currently open for business (e.g., dine-in, takeout, delivery, online, etc.)

Business Email

Type of Business

What region is your business located in?

Midlands Upstate Pee Dee Low Country

What city is your business located in?

Website (begin with http:// or https://)

Instagram (if none type, "n/a")

Facebook (if none type, "n/a")

Brief business description for listing

**THE REMAINING QUESTIONS ARE FOR FOOD-BASED BUSINESSES ONLY. IF YOUR BUSINESS IS NOT FOOD-BASED, PLEASE SKIP THIS SECTION AND PROCEED WITH SUBMITTING YOUR REQUEST FORM**

This business has a ServSafe Food Manager or Food Handler certification and is compliant with all food/safety regulations in the state of South Carolina This business does NOT have a ServSafe Food Manager/Food Handler certification and/or is NOT compliant with all food/stafety regulations in the State of South Carolina

CAROLINA BLACK BOOK

Business registration request form

Quick Links

Follow Us

Contact Us