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2. Business Name*
3. Business Sector
   -- Select One --ServiceDiningPersonal CareRetailReal EstateHealthcare
5. First Name*
6. Last Name*
7. Title*
9. Address 1*
11. Address 2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
22. Business Description*
24. Upload Company Logo
28. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that this agreement will not be signed in the sense of a traditional paper document and by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature. I certify that I have the personal or corporate authority to authorize the City of Twinsburg to display/advertise the aforementioned business. I understand that participating in this business spotlight that the City of Twinsburg is not endorsing my business and I agree to refrain from using the City of Twinsburg’s logo in any of my business advertising. I also certify that my business is located within the City of Twinsburg and that I am current on any local income tax obligations.

    1. I agree
30. Signature (type name)*
31. Date Signed*
    Date Signed
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field