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Business Interest Form

"*" indicates required fields

Business Name*

Owner / Manager*

Business Address*

Email*

Phone*

Are you wanting to participate in the campaign to promote Fairview Heights?*

Yes

No

Please explain if there is a reason your business is unable to participate in this community promotion. This information will help us tailor next year’s experience to help to include more Fairview Heights businesses.*

How would you like to participate?*

Check all that apply

I will be creating my own snowglobe display at my storefront

I want to rent the Snowglobe Inflatable for my business

I want to giveaway Fairview Heights snowglobes

Number of desired giveaway snowglobes*

available while supplies last

Please enter a number from 1 to 25.

Rental Request Information

Requested Rental Date*

Requested Rental Start Time*

:

Requested Rental End Time*

:

Do you have someone to monitor the inflatable to ensure no damage is done to the display and it is stored safely if reserving overnight? This person will also be responsible for returning it to City of Fairview Heights after rental window has closed.*

Yes

No

Name of individual responsible for maintenance of inflatable*

Cell Phone of individual responsible for inflatable*

Email of individual responsible for inflatable*

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URL