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Brea Business Block Party Registration Form

2. 

4. Registration deadline for the Brea Block Party is October 17, 2019. This event will be held rain or shine. For more information, contact Denise Chang at 714-671-4448 or denisec@cityofbrea.net.

6. Event Information
   The Brea Block Party is intended to be an opportunity to introduce and promote local businesses to our residents. The event is also intended to encourage visits to your business on Small Business Saturday, November 30, 2019 to promote shopping small and shopping local. Booth participants are encouraged to bring examples of services and/or products. Direct sales are not preferred but are not restricted. Booth participants are encouraged to have a brick and mortar location and/or demonstrate you are a Brea-based business.

   The Brea Block Party is intended to be an opportunity to introduce and promote local businesses to our residents. The event is also intended to encourage visits to your business on Small Business Saturday, November 30, 2019 to promote shopping small and shopping local. Booth participants are encouraged to bring examples of services and/or products. Direct sales are not preferred but are not restricted. Booth participants are encouraged to have a brick and mortar location and/or demonstrate you are a Brea-based business.

8. Business Name:

10. Business Address:

12. City

13. State

14. Zip

16. Brea Business License:

17. Exp:

19. Booth Representative Name:

21. Work Phone:

22. Mobile Phone:

24. Email:

25. Total # of Booth Participants:

27. Please describe your business and any items and/or materials you will provide for promotion at this event (i.e. 10% off coupon valid on 11/30/19, enter to win a raffle winner selected 11/30/19, distributing product or giveaway to promote business, etc):

29. I have read and understand I must comply with the Brea Business Block Party General Policy Statement and I also agree to protect, defend, indemnify and hold harmless the City of Brea, its agents, employees and volunteers from all loss, damage and claims resulting from the event.

    1. I agree

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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