Think Local Transylvania Sign Up

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Organization/Business Name* This field is required.
2
Contact Name* This field is required.
First Name
Last Name
3
Owner or Nonprofit Director Name (if different from Contact Name)
First Name
Last Name
4
Contact Email* This field is required.
example@example.com
Confirm Email
5
Organization/Business Address* This field is required.Physical Address of Organization
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Organization Website
7
Organization Social Media Handles or URLsExample: @heartofbrevard or facebook.com/heartofbrevard
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Please upload a high resolution logo here. We will use it in our online Think Local Transylvania Ambassador listing and on social media.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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9
Number of Employees* This field is required.This program is for organizations/businesses with 200 or fewer employees, please specify how many employees you have from the options below. Please only count employees who are employed at locations in Transylvania County.
0-10
11-50
51-100
101-200
10
Is the organization a nonprofit?
Please Select
Please Select
Yes
No
Select from the dropdown menu.
If yes, please list the businesses EIN # here. This portion of the question is optional.
11
Is the business/organization locally owned and operated?Our program will denote businesses that are locally owned and operated. To qualify businesses must be able to respond yes to both of the following criteria. Nonprofit criteria is addressed in the next question.
Please Select
Please Select
Yes
No
The business's decision making authority is vested in local owners, and not subject to conditions dictated remotely.
Yes
No
The business owners live in Tranyslvania County or a surrounding county.
What county do the owner's live in?
12
If the business/organization is a nonprofit please answer Yes or No to the following questions.Our program will denote nonprofits that are locally owned and operated. To qualify nonprofits must be able to respond yes to at least one of the following criteria.
Please Select
Please Select
Yes
No
If the organization is a nonprofit, it is headquartered in Transylvania County.?
Please Select
Please Select
Yes
No
If the organization is a nonproft, it is managed by a local board of directors.
13
Is the business/organization independently owned and operated? Our program will denote businesses/organizations that are independently owned and operated. To qualify businesses/organizations must be able to respond yes to both of the following criteria.
Please Select
Please Select
Yes
No
The business's/organizations' decision-making authority is free from outside control.
Please Select
Please Select
Yes
No
The business has a limited number of outlets and limited geographic range.
Please enter the number of outlets here.
Please list the county(ies) for each outlet location outside of Transylvania County.
14
Is the organization a member of either of the below organizations? Select all that apply.
Heart of Brevard
Brevard/Transylvania Chamber of Commerce
15
What services or materials would you like Think Local Transylvania to offer your organization?
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Optional Question: In what ways would you like to see Think Local Transylvania support the local business community and foster a sense of togetherness?
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Ok
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Think Local Transylvania Program PledgeWe ask that all businesses and organizations who wish to join Think Local Transylvania agree to the following pledge. Please indicate your agreement by signing below. By joining Think Local Transylvania I pledge to promote the Think Local Transylvania Program through social media, to display a program poster and/or sticker at my business/organization location(s), and participate in program oriented campaigns. I also pledge to source services and goods from businesses/organizations in Transylvania County, and support others in our community whenever possible.
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18
What do you want folks to know about you? Please provide us with a brief description of your business/organization (25 words or less)
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Tell us us what thinking and supporting local means to you and your business/organization.
20
Say cheese! Please upload an interesting photo(s) that we can use on social media. Examples: a photo of your business facade, a photo of you and/or some of your employees, your products, sporting your Think Local sticker or poster or your office mascot.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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