Contact Name *

First Name

Last Name

Business Phone Number *

(###)

###

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Business Physical Address (if applicable)

If your business operates from a physical location, please provide the full address to help customers find you more easily.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Languages Spoken *

English

Spanish

Quechua

Other

Submitter's Role *

Owner

Manager

Employee

Other

By submitting this form, I confirm that: *

1. Peruvian Ownership: This business is Peruvian-owned, as defined by majority ownership by individuals of Peruvian heritage. 2. Terms of Inclusion: I understand that submission does not guarantee inclusion in the Peruvian Business Network USA directory, as all entries are subject to a review and selection process. 3. Representation: I acknowledge that Peruvians of USA does not verify the accuracy of the information provided or endorse the business unless there is a formal partnership agreement in place. 4. Liability: Peruvians of USA is not responsible for any misrepresentation, inaccuracies, or business outcomes resulting from inclusion in the directory. Participation is entirely voluntary.

By checking this box, I agree to the above terms and confirm the accuracy of the information provided.