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2. Name*
3. Email Address*
5. Address*
7. City
8. State
9. Zip Code
11. Phone Number*
13. Date(s) of Reservation*
    Date(s) of Reservation Start Date

    Date(s) of Reservation Start Time

    —

    Date(s) of Reservation End Date

    Date(s) of Reservation End Time

    Display period not longer than one week, with a possible renewal for a second week.

14. All Day

    1. Yes
16. Size and Securement Method*
17. Location of Banner*
19. Organization and Purpose*

    What is the organization associated (if any) and the purpose of the sign?

20. Text of Banner*

    Exact text, as it will appear on the banner.

22. Attach File

    Attach a mock-up of the sign or language and/or images that will appear on the banner, if available. 

23. Terms of Use*

    1. Yes

    I have read the Placement of Private Signs on Public Property Policy and my submission adheres to the Policy.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field