UticaProud - Onboarding Form

Utica Proud - Onboarding Form
Dear Utica Business Owner,

Utica Mayor Robert M. Palmieri invites you to become a local business on the "Utica Proud" app, Utica's newest initiative to boost sales at local businesses.

Powered by the creative experts at Colu, this initiative is brought to you and sponsored by the City of Utica. This is at NO COST to you and you need NOT be a chamber member to participate.

The "Utica Proud" app rewards residents and visitors for shopping at Utica's local businesses. The City’s rewards come in the form of "Halfmoons". Each "Halfmoon" is equivalent to $1, and can be easily redeemed at participating local businesses.

Please submit this form and your application will be reviewed. Note the following program criteria:

1. Business must have a storefront located within the city limits of Utica, NY.
2. Business must be small (locally owned franchises please contact Derek Crossman at: dcrossman@cityofutica.com).
3. Business must accept credit and/or debit cards.
4. Business should contribute to the overall quality of the community.

After this form is submitted and if you qualify, you will receive an email with next steps.

By applying, you will be opting in to be listed on the Utica Proud platform as a participating business. A "Participating Business" is a business located in the City of Utica that has agreed to participate in the Utica Proud Program and thereby enables customers to earn "Halfmoons" funded by the city, when they shop at your business.

For any questions feel free to contact us:
City of Utica - Derek Crossman - dcrossman@cityofutica.com
Colu team - Uticaproud@colu.com

Account ID
Status
Business Profile

This information will be used to build your business place profile on the app. It is important that you provide as much information as possible to make sure your business is represented the best way to appeal to more customers!
What is the "Doing Business As" name (DBA) of your business?*
What is your business's legal name?
This will not appear on the application but is used for internal purposes only.
How Many Locations Does Your Business Have?

One Location within the City limits of Utica, NY.Two (or more) locations all within the City of Utica, NY.Two (or more) locations with at least one outside of the City of Utica, NY.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What category best describes your business*
Please upload a picture of your business*

The ideal file is a horizontal picture and the size is 1MB or smaller.
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If your business has a logo, please upload it here*

Cancelof
Please share a paragraph or two about your business (50-100 words)*
This can be your business description from your website, your facebook page, etc. Please note, this will be used on your business profile on the Utica Proud City app for users to gain a better understanding of what your business is all about!
Business Website
Business Phone Number*
Please enter a valid phone number.

Business Owner Information

Personal Information is for Internal Purposes Only and Will Not Appear on the App
What is the Business Owner's Name?*

First NameLast Name
What is the Business Owner's Email address?*
example@example.com
What is the Business Owner's phone number?*
Please enter a valid phone number.
What Distinguishes Your Business?

Minority-OwnedVeteran-OwnedLGBTQ-OwnedBlack-OwnedWoman-OwnedImmigrant-OwnedNone of the Above
I Want To Be A Redeeming Business*

YesNo
The Following Section is for Redeeming Businesses Only

Please complete the following fields so the City may reimburse you for the Halfmoons you accept.
Business Owner's Name

First NameLast Name
Business Name (as listed with bank)
DBA
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Make Check Payable To
Signature

Clear
Should be Empty:

Utica Proud - Onboarding Form

Business Profile

Business Owner Information

The Following Section is for Redeeming Businesses Only