Shop Medford First Application Form

 

Please fill out all the fields to the best of your knowledge and send it back to Denise Schmied, Township of Medford, 17 North Main Street, Medford, NJ 08055 or email to dschmied@medfordtownship.com or fax to 609.654.8101

 

Business Name

 

Contact Name (not for public viewing):

Address

 

Phone

 

Email

 

Website

 

Description of Products or Services (limit 300 characters)

 

 

 

 

 

 

 

 

Business Category

Circle One                                           Product           or           Service

Attach logo

Attach creative for ad (with expiration date)

 

Please note

*      This is a FREE program provided by the Township of Medford

*      Website will be updated regularly

*      Please send revised information as it becomes available

*      Offers must have an expiration date

 

We would like to keep this as fresh as possible, so please keep us posted for any news and changes that may affect the public so we can post it on the site.