Small Business Signage Grant
Please read grant program requirements before applying for the program. If you have any issues with this form please contact edhcare@miramarfl.gov.
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Business Name
*
Business Phone Number
*
Please enter a valid phone number.
Business Email
*
example@example.com
Business Address (If you are a home-based business, place the address of the building you are hoping to lease)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parcel ID:
Please upload a copy of your lease ?
*
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For home based business. Please upload a copy of your unsigned lease agreement for the location you would like to move to.
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of
Please upload your current business tax receipt ?
*
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Please provide photos of the entrance of the business ?
*
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I I hereby certify that, to the best of my knowledge, the provided information is true and accurate.
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