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2. Name of Organization
4. Contact Person
5. Contact Person Email Address*
7. Contact Person Phone Number
9. Address
11. City
12. State
13. Zip Code
15. 501c3 Non-Profit Number*
17. Dates requesting banner to be displayed (Monday to Sunday)
    Dates requesting banner to be displayed (Monday to Sunday) Start Date

    Dates requesting banner to be displayed (Monday to Sunday) Start Time

    —

    Dates requesting banner to be displayed (Monday to Sunday) End Date

    Dates requesting banner to be displayed (Monday to Sunday) End Time
19. Indicate Light Pole Banner or Flag
21. eSignature of responsible party indicating you have read the City of Aspen Banner Policy and Procedures
23. Banner or Flag Display*
    State exactly what your banner will say. For your benefit, note that banners seem to be most effective visually when kept simple, i.e. event, date, organization or logo.
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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