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2. Business Name:*
4. Owner:*
6. Address*
8. City
9. State
10. Zip Code
12. Business Phone Number*
13. Mobile Number*
15. Email Address*
17. Additional Email Address
19. Acknowledgement:

    •I agree to build and decorate a scarecrow and participate in the event according to the guidelines developed for the program and display the scarecrow throughout the duration of the event. •I agree to have fun marketing the event to my customers and through my social media channels using the marketing materials provided to my business by the Town of Danville, along with any additional graphics or photos I develop to promote the event. •I agree that the Town of Danville is not liable for damaged or stolen items that are displayed on the Scarecrow. I agree that if my scarecrow is not appropriate, the Town of Danville has the right to take the scarecrow down and remove my business from the event.

21. Signature:*
23. Date:*
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field