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2. Name
4. Business Name
6. Address
8. City
9. State
10. Zip Code
12. Phone Number
13. Email
15. Description of Business
17. Reason for Celebrating
19. Preferred Date & Time
    Preferred Date & Time

    Preferred Date & Time
21. Have you obtained your business license?

    1. Yes
    2. No
23. Have you obtained your zoning permit?

    1. Yes
    2. No
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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