Yard Sign Request Form

Yard Sign Request Form
Please Note: We are only able to deliver signs within the 27 counties of the Second District.
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Street Address*
Please enter the physical address where you would like your sign delivered.
City*
County*
How would you like your sign delivered?*

Deliver to the doorInstall the sign at the curb (Note: we are not responsible for any damage to sprinklers, invisible pet fences, etc.)Other
Additional comments:
i.e. Number of signs requested, other locations you would like them delivered, etc.
Please verify that you are human*
PAID FOR BY DEREK SCHMIDT FOR CONGRESS, INC.
Should be Empty: