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2. Name of Individual Completing Form*
3. Business Name*
5. Individual Email Address*
6. Business Phone Number*
8. Business Website
9. Business Email Address To Be Published
11. Business Social Media Links (must provide to be tagged)
13. What news do you want us to share? (This will be copied and shared to our site so please double check for grammatical errors.)
15. Would you like to participate in promotion of Independence Day specials? If so, please describe your specials here.
17. Please upload any logos or pictures we can share with the posts.
18. By completing this form, I certify I have the right to speak for this business and I own the right to the photography used. Yes/No option. *

    1. Yes
    2. No
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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