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Program Opt-In Form
YES!
I want to be listed as a participating business in the City’s Shop & Dine Lancaster program. I have read and agree to the
program terms and conditions
.
Name:
Business License No:
Business Address:
Business Phone No:
Email Address:
Website URL:
Contact Name:
Business Categories:
(check all that apply)
Retail:
Appliances & consumer electronics
Auto, motorcycle, RV & boat sales
Clothing, apparel or fashion accessories
Gasoline & motor fuel supplier
Grocery, convenience & food stores
Hardware, garden or building supplies
Home furniture, furnishings & accessories
Pharmacy, health & beauty supplies
Stationery, gifts, cards & office supplies
General merchandise & specialty retailers
Other (please specify below)
Consumer Services:
Appliances & consumer electronics repair
Automotive services
Banking & investment services
Child or elder care provider
Clothes cleaning & laundry services
Entertainment, arts & leisure activities
Healthcare & fitness services
Home gardening, cleaning & repair
Hotel, restaurant, catering, food services
Legal, tax, accounting or real estate
Other (please specify below)
Business Products & Services:
Accounting & tax preparation
Advertising, media & printing services
Agriculture, forestry, fishing or mining
Architecture, engineering & construction
Banking & financial services
Equipment rental, sales & service
Manufacturer
Office furniture, equipment & supplies
Property management & real estate
Wholesale distributor
Other (please specify below)
Other Categories:
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