2017 Spring Farm Tour Application - Loudoun County Economic Development, VA

Applicant Name:*

Applicant Phone Number:*

Applicant Email Address:*

Applicant Business Name:*

Applicant Business Address*

Street Address Street Address Line 2 City Postal / Zip Code

Are you currently a registered business in Loudoun County?*

Yes

No

Are you currently selling locally-sourced Loudoun farm products?*

Yes

No

Are you a registered participant in the “Loudoun Made, Loudoun Grown” program?*

Yes

No

Do you agree to display the "Loudoun Made, Loudoun Grown" program logo at the place of business as a component of any marketing plan for which funds provided?*

Yes

No

Are you in good standing with all Loudoun County ordinances and regulations?*

Yes

No

If you have an existing sign violation, are you actively working with the Department of Planning and Zoning to remedy the situation?*

Yes

No

Not Applicable

Please provide a realistic and clearly-articulated budget for the requested funding:*

If funds are provided: Do you agree to attend a “Seeds for Success” marketing workshop and/or meet with a department representative about marketing practices?*

Yes

No

If funds are provided: Do you agree to participate in the program’s “end-of-season” survey?*

Yes

No

Do you commit to utilizing funds toward marketing costs for your business, including legislative applications for sign permit fees in Loudoun County?*

Yes

No

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Loudoun Made, Loudoun Grown Marketing Fund

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