Showcase Registration Form

Locally Leesburg Business Showcase Registration

Please fill out the form below to register for the Locally Leesburg Business Showcase and Economic Development staff will be in touch with you soon to discuss the details of this program with you.

Please note that information submitted to the Town of Leesburg via the Town website may be subject to Virginia’s Freedom of Information Act (FOIA).

Please provide the following information about your business.

Contact Name

Business Name

Physical Address

Physical Address Line 2 (Suite, etc.)

City

State

Zip Code

Best Phone Number to reach you.

Website

Please provide a description of your business.