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Ithaca is Inclusive Sticker Request
Please review
THIS DOCUMENT
regarding inclusivity for local businesses and organizations welcoming LGBTQ people and families, and fill out the form below to request an Ithaca is Inclusive sticker to display at your business or organization.
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* Indicates required question
Email
*
Your email
Inclusive Sticker Design
Organization or Business Name
*
Your answer
Your Name
*
Your answer
Mailing Address
*
Business/Name, Street, City, Zip
Your answer
Phone Number
Your answer
How many window clings does your organization / business need?
1
2
3
Clear selection
How would you like to obtain your window cling?
*
Please, mail or deliver it.
I can pick it up at the Tompkins Chamber office (124 Brindley St.)
Which organization did you hear about the initiative from?
*
Tompkins Chamber
Visit Ithaca
Downtown Ithaca Alliance
Tompkins County Whole Health
Other:
Does your space have restrooms that are gender neutral and accessible by wheelchair?
*
Yes gender neutral
Yes accessible by wheelchair
Yes to both
No, but how can I learn more?
My space has no public restrooms
Other:
Do you agree to review
the document
and commit to your organization or business following inclusive and welcoming practices for LGBTQ people & families?
*
Yes
No
Other:
Submit
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