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ShopLocal CW Gift Card Project Intake Form

If you have any questions, please contact staff at shoplocal@centrewellington.ca

Business Name

Name of Owner/Contact Person:

Street Number

Street Name

Postal Code

Phone number (please provide both business number and a number you can be reached at if not at business number):

E-mail address for business inquiries:

E-mail address for fund transfers:

Business Description for publication:

Are you currently doing business?

Yes

How are you currently conducting business:

Business Hours:

Business Website:

Business Facebook Account:

Business Instagram Account:

Business Twitter Account:

Digital copy of your business logo

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