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Request for Village Flag
Leave This Blank:
Please write 3-5 sentences explaining your request for a Village flag and supply the name, address and other information about the person(s) who would receive the flag below.
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Name:
*
Address:
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Address Line 2:
City:
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Contact Phone Number:
*
Email Address (if known):
Please fill out contact information for the person submitting this request below.
Name:
*
Contact Phone Number:
*
Email Address:
By Clicking “I agree,” you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your “electronic signature” is valid and binding upon you to the same force and effect as a handwritten signature.
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I agree
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