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539.SERV
Adopt-A-Spot
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Adopt-A-Spot Program Application
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This form has been modified since it was saved. Please review all fields before submitting.
Name of Group or Individual
*
Today's Date
*
First Name
*
Last Name
*
E-mail Address
*
Address1
*
Address2
*
City
*
State
*
Zip
*
Phone Number
*
Alternate Phone Number
*
Type of Group
*
Non-Profit
Business
School
Scouts
Individual
Church
Homeowners Association
Civic
Other
If Other Please Describe
Please Check Type of Spot to be Adopted
*
Park
Road
Trail
Median
Creek
Entryway Monument Sign
Other
If Other Please Describe
Location of Spot to be Adopted
*
List Tasks Your Group is Interested in Performing
*
Estimated Number of People Involved
*
Desired Start Date
*
Exact Wording on Sign
*
May We List You or Your Group on the Town's Website?
*
Yes
No
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