2. First Name
3. Last Name
5. Comments for Town of Mount Airy and Mount Airy Main Street Association.*

   What would you like to share with us about your business? Do you have thoughts on Main Street/Downtown improvements? Both of our organizations are budget annually for operating or capital projects for this district and working together to plan priority projects. It helps us when we get out of our bubble and learn from you.

7. New Business Opening or Existing Business Expanding

   If you did not open or expand your business last month, skip this section.

9. # of Jobs Created Full Time
10. # of Jobs Retained Full Time
12. # of Jobs Created Part Time
13. # of Jobs Retained Part Time
15. Building Improvements

    If you did not put funds toward improving your building or construct something new last month, skip this section.

17. Address
19. Description of Building Improvement
21. Amount Invested
23. # of Housing Units Added
25. Was it a new construction or renovation?
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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