Business Name

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* 1. Business Name

Applicant Name

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* 2. Applicant Name

Mailing address

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* 3. Mailing address

Are you interested in using the Hub as your business address?

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* 4. Are you interested in using the Hub as your business address?

Phone number

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* 5. Phone number

Email address

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* 6. Email address

How do you want to be contacted?

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* 7. How do you want to be contacted?

Do you live in Frenchtown or Southside?

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* 8. Do you live in Frenchtown or Southside?

Vendor Type (If planning to apply as more than one vendor type, fill out a separate application for each.)

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* 9. Vendor Type (If planning to apply as more than one vendor type, fill out a separate application for each.)

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