Lawn Sign Request

To request a lawn sign, please complete this form. Once we receive this form, the lawn sign(s) will be delivered to the address you have on this form. Please let us know if there are special instructions as to where you would like the sign to be delivered to or placed on your lawn.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Which candidates lawn sign would you like? (select all that apply)

Miriam Bleich (Board of Education)

Al Cortes (Town Council)

Dr. Gayle Harris (Town Council)

Ben Lewis (Town Council)

John Lyons (Town Council)

Dr. Jason Wang (Town Council)

Kyle Zelazny (Town Council)

Special Instructions (where would you like your lawn sign placed?)