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Eat, Sleep Shop Local 2021 Signup form
Please fill out this form to confirm your participation in ESSL 2021, Dec 1-24
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* Indicates required question
Business Name
*
Your answer
Contact name
*
Your answer
Email (if none, write 'none')
*
Your answer
Phone Number
*
Your answer
Mailing Address for coupon reimbursement check
*
Your answer
Town
*
Dover
Wilmington
I can donate an item (small gift or low denomination gift card for the raffle prize)
*
Yes
No
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