Business Account Request Form All requests are subject to Town approval. For more information, please call 860-379-3389. Your name * Title / Position * Email Address * Please provide the following information about your business Business Name Business Address Street * Additional City * State / Province * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Business Phone * Category of Business * - Select -AgriculturalAntiques & FurnishingsArtists & CraftsAuto Repair - FuelBanks - ATMsBarbers, Beauty Salons & SpasChild Care & Family ServicesCommunity OrganizationContractorsDance - FitnessDental - Medical PracticeEntertainmentFishing - Water SportsGroceries & SpiritsInsurance & Financial ServicesLegal ServicesLodgingManufacturingMusic InstructionReal EstateRetail - ShoppingRestaurants & EateriesService & RepairServicesSkiing - SnowboardingVineyards & Brew CraftersWorshipOther If Other, Please specify Business Website Leave this field blank