Loudoun, VA Made Loudoun, VA Grown Application Form - Loudoun County Economic Development, VA

Business Name (As you would like it to appear on the Loudoun Farms directory):*

Applicant Name/ Business Representative:*

Phone:*

Email:*

Website

Please provide your logo (up to 2MB) so that we may cross-promote your brand:

Business Address:*

Address Line 2:

City/Town: *

Zip Code:*

Which Best Describes Your Business? Mark more than one if applicable

I grow/raise Loudoun products

I produce value-added items in Loudoun

I use and promote Loudoun products in my business (e.g. restaurants, stores, B&Bs)

Please provide a short description of your product(s)/business as you would like it to appear on our website.:*

Eligible Products - For which Loudoun products would you like to use the logo? Please list.*

Collateral Requested (available only while supplies last - not guaranteed):

Electronic logo (available for immediate download upon application)

Round stickers 1.5" in diameter

Biodegradeable plastic t-shirt bags

4" Coasters

Napkins

Where can your products be purchased?

APPLICATION ACCEPTANCE: I'm applying to use the LOUDOUN, VA MADE • LOUDOUN, VA GROWN™ logo, slogan and associated branding products in accordance with the trademark agreement and branding guide. I've read and agree to ALL policies and guidelines set forth by the Department of Economic Development.*

ACCEPT

DECLINE

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