Drink & Dine for Design: An Old Town Mural Crawl
Eat Local. Support Art. Color Old Town Greenwood.
Business Name
Contact Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Restaurant/Cafe/Coffee
Bar/Wine
Retail
Services
Other
If you selected “other”, please specify?
Are you interested in participating in the “mural crawl”?
YES
Maybe, would like more info
NO, not at this time
Dine to Donate Options, I would like to:
Donate a % of sales
Donate a fixed dollar amount
Donate proceeds of a featured item
I would like to discuss options
If known, please share any details.
Would your business like to donate a gift card, item, prize or service for the giveaway?
Please Select
YES
NO
MAYBE
If YES, what would you like to donate?
May we include your business and logo in promotional materials for the “mural crawl”?
Please Select
YES
NO
If YES, upload logo here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Facebook social media handle?
Instagram social media handle?
Website?
Anything else you would like us to know or discuss?
Signature of Business Owner/Representative
Submit
Should be Empty: