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2. Lowell Shopping Network: Video Submission Form
4. 
6. Business Name*
8. Business Address*
10. Contact Name*
11. Email Address*
13. Business Phone #*
14. Business Website*
16. Facebook Page
17. Instagram
19. Twitter
20. Current Hours of Operations*
22. Curbside pick - up?*

    1. Yes
    2. No
23. Delivery?*

    1. Yes
    2. No
25. Gift Cards?*

    1. Yes
    2. No
26. Online Gift Cards?*

    1. Yes
    2. No
28. Do you want LTC to edit your video? A "yes" response will grant LTC permission to edit your video. *

    1. Yes
    2. No
30. Submit your video here
31. Submit your business logo here
33. Submit your google drive or dropbox link here
35. Submit Additional Video and/or photographs
    Optional
37. Submit Additional Video and/or photographs
    Optional
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field