Fly The Flag - Madelia Lions
The Madelia Lions Club is proud to announce a new community project: the Fly the Flag program, an initiative to celebrate patriotism, honor Madelia Veterans, and support the continued work of the Lions Club in Madelia.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How many different addresses would you like the flags delivered to?
*
Please note that there is a max of five addresses. To have flags delivered to more locations, please contact us at madelialions@gmail.com
Flag Delivery Address #1
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Address #1 a residence or a business?
*
My residence
My business
Residence or business owned by someone else
Other
Flag Delivery Address #2
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Address #2 a residence or a business?
*
My residence
My business
Residence or business owned by someone else
Other
Flag Delivery Address #3
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Address #3 a residence or a business?
*
My residence
My business
Residence or business owned by someone else
Other
Flag Delivery Address #4
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Address #4 a residence or a business?
*
My residence
My business
Residence or business owned by someone else
Other
Flag Delivery Address #5
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is Address #5 a residence or a business?
*
My residence
My business
Residence or business owned by someone else
Other
Please provide the email of your residence/business owner (please talk with them before sending in this form to ensure they are okay with flag installation)
*
example@example.com
Please provide the phone number of your residence/business owner (please talk with them before sending in this form to ensure they are okay with flag installation)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Placement Notes (optional)
If you do not write anything in this field, the Madelia Lions will knock on your door on install day to ask about preferences/location ideas.
Any known underground utilities, sprinklers, or concerns near the installation area?
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No
Yes (please explain)
Please explain any known concerns near the installation area.
*
You're being asked this because you selected "yes" in the previous question. If this was a mistake, please go to the previous question and correct your selection.
Additional Comments (optional)
Please leave any questions or special requests here.
By signing below, you give the Madelia Lions Club permission to enter your property on a date communicated in advance to install a PVC ground sleeve, flagpole, and U.S. flag (with or without a solar light, based on your selection). You agree to receive emails or messages related ONLY to the Fly the Flag program, including installation details and renewal notices. You will not recieve any other Lions Club Communications unless you choose to opt-in separately. Payments are non-refundable, but you may request removal of the flag at any time. This is an automatically renewing annual subscription; you’ll receive a reminder before each renewal and can cancel at any time.
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May we email you about Madelia Lions Club programs, updates, and volunteer opportunities? No spam; unsubscribe at any time!
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Yes
No
Proceed to Payment
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