Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Shop Local Moline Directory Information Form

  1. M, T ,W, Th, F, Sat, Sun

  2. Select Category*

  3. Please write a brief description (up to 50 words) of your business as you would like for it to appear on the website. Moline Main Street reserves the right to edit this information, but any changes will be submitted to you for your final approval.

  4. Please submit an electronic photo, preferably an outside view or impact photo, of your business..

  5. Please submit a digital version of your logo preferably in a JPEG or TIF file format.

  6. Leave This Blank:

  7. This field is not part of the form submission.