Form Center

2. In an effort to keep uniformity of our Town of Harrisburg’s branding efforts that are unique to the Town, any use of the Town of Harrisburg brand, logos, image and likeness must first be requested in writing using the form below.  Based on our Town Branding Standards, any item bearing our logo must follow this rule.  

   We value your interest in promoting our brand.  In an effort to maintain uniformity with our brand, please fill out the form below.

   Thanks for your interest in using the Town of Harrisburg, NC brand, logo, image and likeness.  Once all materials have been received, your request will be considered in the next ten business days.  Upon approval, we will email you the logo in the format you indicate below.  Until then, you do not have approval from the Town of Harrisburg, NC to use the requested brand, logo, image and likeness.  

   *NOTE:  All questions must be completed.

   
   

4. Contact Name
5. Phone Number
7. Business Name
8. Email
10. Collaboration Description

    Describe how you intend to use the Town of Harrisburg’s brand, logos, image and/or likeness.   Please provide a detailed description including the format (merchandise, banners, brochure, website, social media, etc.), type of media (printed, electronic, etc.), targeted location, and audience with whom the logo will be used.  

12. Business Website
13. Logo Format

    I need the logo in the following format (check all that apply):  

    1. jpg
    2. png
    3. other
15. Branding Materials

    I am requesting use of (please check all that apply):

    1. Town of Harrisburg, NC logos
    2. Anniversary logos
    3. Celebration logos
    4. Anniversary Badges
    5. Color Codes
17. Requested period of time of use:
18. Example

    Attach a sample of how the brand, logo, image and likeness will be used.

20. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
22. Electronic Signature
24. First Name
25. Last Name
27. Submission Details
    Submission Details

    Submission Details
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field