Point-of-Interest Application Your Name:*FirstLast Your Role/Position:*Select OneOwnerManagerOther Primary Contact Email:* Re-Enter Email:* Primary Contact's Phone: Phone Type:Select valueWork/OfficeHomeCellularOther Point-of-Interest Name (Business/Attraction Name):* POI Address: Street Address City State / Province / Region Postal / Zip Code POI Primary Phone: POI Website: POI Facebook Page: POI's Location on Route 66?:*Select OneDirectly on Route 66Within one block of Route 66Within half-mile of Route 66Farther than half-mile from Route 66. What is the Primary Category for this POI?*Select OneBusinessNon-Profit / OrganizationLandmarkOther Select ALL Business Categories that Apply:*Art / GalleryLodging / Hotel / B&BRestaurant / BakeryRetail / Gift Shop / StoreManufacturingOther Select ALL Non-Profit Categories that Apply:*Art / GalleryVisitor CenterMuseumPark / Nature PreserveOther Category Description: Description of POI:* History of POI: If a Registered National Historic Place, what year did the POI receive this designation?: Date/Year Opened: Available Parking Options:On-Site Parking LotNearby/Shared Parking LotNearby Parking GarageStreet ParkingVelet Parking Describe Parking Availability Details: Available Parking Spaces (Number): ADA Parking Available?:Select OneYesNo Private ADA Parking Spots Available (Number): Is RV and Large Vehicle Parking Available?:*Select OneYesNo Is there a Cost for Admission?:*Select OneYesNo Admission Cost(s): Hours / Availability: Season(s): Holidays: Is this POI ADA accessible?:*Select OneYesNoN/A Public Restrooms Available?:*Select OneYesNo Public Restrooms ADA Compliant?:Select OneYesNo Free Public Wi-Fi Available?:*Select OneYesNo Does this POI contain a Gift Shop?:*Select OneYesNo Tours Availalbe?:*Select OneYes: Guided ToursYes: Self-Guided ToursNo Are there other Services available at this POI?: Additional Information: If you have a brochure or other information you would like to include, you can upload the file(s) here: reCAPTCHASUBMIT APPLICATIONStart Over
