OTBD Membership
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| Name
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| Prefix
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| First
*
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| Last
*
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| Suffix
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| Name of Business
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| Are you either a locally-owned business or an independently-owned business?
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| Yes No
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| Business Address
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| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| Street Address
*
| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| Address Line 2
| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| City
*
| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| State / Province / Region
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| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| Postal / Zip Code
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| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| Country
*
| Your business must be in Old Town Alexandria, Virginia to be eligible for membership.
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| Email
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| Business Phone Number
*
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How many years have you
been in business?
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| Do you currently have...
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| Email Marketing program Direct Mail program Social Media program Website None of the above
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| When is your business open?
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| What type of events (promotional or otherwise) have you held at your store?
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| Why do you want to join the OTBD?
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| What social media channels does your business use to engage with customers?
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| Facebook Twitter Foursquare Pinterest Linkedin Google+ Yelp Check as many as are applicable.
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Image Verification
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