Sign up your Shop!
In order to be apart of this great opportunity, please complete the below form. We will contact you as soon as we receive your completed registration form. Please contact Terah Stivers at 215-814-4111 for additional questions. Thank you for supporting Read by 4th!
Name *
Your answer
What is your role? (owner, barber, stylist, etc.) *
Your answer
Name of Business/Shop *
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address
Your answer
What's your T-shirt Size? *
Do you use social media to promote your business? *
Facebook page (link)
Your answer
Twitter handle (@)
Your answer
Instagram handle (@)
Your answer
Where did you hear about this initiative?
Your answer
Do you have any questions for us?
Your answer
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