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2. Business Name*
4. Business Address*
6. Contact First Name*
7. Last Name*
9. Email*
10. Phone*
12. Offer/Coupon*

    Please list your promotion for November 27th so that we can advertise it in the marketing campaign.

13. Website & Social URLS
    Please insert your company's website and social media url's so we can actively market you leading up to this event.
15. Company Logo
    Add your logo file. (PNG preferred, JPEG, or PDF)
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

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