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2. IMPORTANT!
   Social Media Promotion Policy

   Please read the Social Media Promotion Policy before submitting your application.

4. Business Information

6. Business Name*
8. Business Address*
9. Business License Number*
11. Business Type*

    1. Retail
    2. Service
    3. Food Service / Restaurant
    4. Hospitality
    5. Non-Profit
    6. Other
13. If Other, Please Explain
15. Contact Person*
16. Contact Email*
18. Contact Phone Number*

22. Promotion Details

24. Brief Description of Your Business*
26. Key Products or Services*
28. Unique Selling Points (What makes your business special?)*
30. Preferred social media platforms for promotion. Check all that apply.*

    1. Facebook
    2. Instagram
    3. X (Twitter)
    4. Other
32. If Other, please explain
34. Content Participation
36. Are you willing to provide access to your premises for filming/photography*

    1. Yes
    2. No
    3. Additional Information or Requests
40. Are you promoting a special event?

    1. Yes
42. Please describe your event*
44. Please enter the date(s) of your event*
    Please enter the date(s) of your event Start Date

    —

    Please enter the date(s) of your event End Date

48. Consent and Release

50. By electronically signing below, you acknowledge that you have read, understood, and agreed to the City of Mt. Juliet Social Media Promotion Policy. You grant the City of Mt. Juliet the right to use, reproduce, and distribute photos, videos, and other media featuring your business. You release the City of Mt. Juliet from any liability related to the creation and distribution of promotional content.
52. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
54. Electronic Signature
56. By checking this box, I confirm that I have read and understood the City of Mt. Juliet Social Media Promotion Policy and agree to its terms.*

    1. I Agree
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field