Applicant/Organization Information
Name of Applicant
*
First Name
Last Name
Organization
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select the start and end date for the display of your message. The end date is the final day the message will be displayed. Note that the maximum duration is 2 weeks (14 days)
Start Date
End Date
Note that there is a maximum of 13 characters per line, and there are 3 lines (see this pictured below). Spaces count as characters.
Please see an example of what your wording could look like below:
Put the wording of your message for the readerboard below. Note that there is a separate section for each line on the board. If your message is short enough that it does not fill all 3 lines, you may leave those lines blank.
Line 1
Line 2
Line 3
Please Note:
There will be NO private advertising. Only community events and messages will be permitted. Eligibility is determined at the sole discretion of the City Manager. The City of Germantown reserves the right to edit the text and cannot guarantee the dates upon which the text will appear. The City of Germantown will do its best to accomodate each organization.
I have read and understand the above statement
*
Yes
Signature of Applicant
*
Submit
Should be Empty: