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Please note: All submissions must be submitted at least two weeks prior to the event date
Business Name
Contact Name
Phone Number
Email
Would you like to participate in the Plaza Party?
Yes
No
On which date would you like to participate?
Please select if you plan on providing your own table, tent and/or table cloth. If you don’t have any of these items, Village at Leesburg will supply them for you. If you have your own branded items, it is recommended you use those for the extra advertising.
10x10 Tent
6 Foot Table
Table Cloth
10x10 Tent
6 Foot Table
Table Cloth
Do you want to promote a special offer or in-store activity to encourage people to visit?
Yes
No
Describe
Will you donate gift cards and/or items as prizes?
Yes
No
Describe
Do you want to hand out coupons/giveaways at the Village at Leesburg registration tent?
Yes
No
Describe Handout
Please NOTE: If you are a Village restaurant and will be serving food or samples outside your premises during the event, we must notify the Health Department of your participation. You must have a copy of your Health Department License at your table and abide by their regulations.. You are also required to fill out a Temporary Food Application.
SUBMIT
