Register A Business Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Business DetailsSelect City Where Your Business Is Located:ShelbyvilleSimpsonvilleBusiness / Organization *Brand Name of Restaurant *Name of Restaurant Manager *FirstLastBusiness Phone *Business Email Address *Physical Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMailing Address Same As Physical Address? *Yes, the business mailing address is the same as the physical addressNo, I need to add a separate mailing addressMailing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWebsite / URL Restaurant Business Mailing Social Media Links You can add additional fields to include as many social media profiles as you would like.Add Social Media Profile URL Restaurant Description *Please provide a brief description (50 - 75 words) of the property and amenities. This information will be used in our Visitors Guide.Restaurant Photos Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Please provide up to 3 high-resolution photo of your business. You may also email photos to evelyn@visitshelbyky.com. Owner DetailsName of Restaurant Owner *FirstLastIs Owner Mailing Address Same As Business Mailing Address? *Yes, the owner has the same mailing address as the businessNo, I need to add a separate mailing addressMailing Address of Restaurant Owner *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAccountant / Tax RepresentativeName of Accountant / Tax Representative *FirstLastIs Accountant / Tax Representative Mailing Address Same As Business Mailing Address? *Yes, the accountant/tax rep has the same mailing address as the businessNo, I need to add a separate mailing addressAccountant / Tax Representative Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCertificationCertification *I hereby certify that, to the best of my knowledge, all of the foregoing statements are true, correct, and complete.Submitted By *FirstLastPlease Provide Your Signature Below: * Clear Signature Submit Address ShelbyKY Tourism 219 7th Street Shelbyville, KY 40065 Phone (502) 633-6388 Email info@visitshelbyky.com
