(717) Be Loyal. Buy Local. Submission

Submission Form for the 2025-2026 Summer edition of the (717) Be Loyal. Buy Local. campaign presented by Brightspeed.

Name

Please enter in your first and last name to be associated with your entry.

Title

First Name *

Last Name *

Suffix

Phone Number *

Please enter a good phone number for us to contact you.

Email Address *

Please enter an email address that we may reach you.

UPLOAD ALL OF YOUR RECEIPTS

Please upload each of your receipts below.

Upload Receipt #1

Please be sure your photo is 7 MB or less.

Receipt #1 Total

Please type the receipt total in this format: 123.45

Upload Receipt #2

Please be sure your photo is 7 MB or less.

Receipt #2 Total

Please type the receipt total in this format: 123.45

Upload Receipt #3

Please be sure your photo is 7 MB or less.

Receipt #3 Total

Please type the receipt total in this format: 123.45

Upload Receipt #4

Please be sure your photo is 7 MB or less.

Receipt #4 Total

Please type the receipt total in this format: 123.45

Upload Receipt #5

Please be sure your photo is 7 MB or less.

Receipt #5 Total

Please type the receipt total in this format: 123.45

Upload Receipt #6

Please be sure your photo is 7 MB or less.

Receipt #6 Total

Please type the receipt total in this format: 123.45

Upload Receipt #7

Please be sure your photo is 7 MB or less.

Receipt #7 Total

Please type the receipt total in this format: 123.45