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2. Community Service Banner Request
4. Organization / Business:*
6. Non Profit / For Profit:*

   Check one:

   1. Non Profit

   1. For Profit
7. Tax ID #:*
9. Contact Name(s):*
11. Mailing Address:*
13. City*
14. State*
15. Zip Code*
17. Phone Number(s):*
18. Email Address:
20. Site Descriptions:
22. Site 1: 600 East Main
23. Site 2: 200 West Main
24. Site 3: 300 West Main
26. Site 4: Hwy 16 South, near High School
27. Site 5: Hwy 16 South & Pyka Rd
29. You may request any number of dates. These requests will be filled on a first come, first served basis. All requests should be submitted by the end of November of the year prior to the date of the banner request. For example, a banner requested to be hung on May 12, 2024, should be requested by the end of November, 2023.
31. Please check one of the following:*

    1. I am willing to accept other Main Street sites, if my first choice is not available.
    2. I am willing to accept any other site, if my first choice is not available.
33. Please list your events and indicate the dates and site you want:*
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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