Outdoor Marquee Sign and Display Board Advertising Application

Download the printable PDF form.

Company Name *

Contact Person *

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Email Address *

Phone Number *

Type of Request *

New request
Renewal

Please check one or more of the following: *

Outdoor Marquee Sign
Puslinch Community Centre Display Board
Optimist Recreation Centre Arena Display Board
Township of Puslinch Office Display Borard

Outdoor Marquee Sign Message *

Please note that the sign message is to be 14 characters per line including spaces and 6 lines per display page.

Terms and Conditions *

I have read, understood and accept the Outdoor Marquee Sign and Display Board Advertising Terms and Conditions.

Signature *

Personal information on this form is collected under the authority of the Municipal Act and will be used for the purpose of processing this application and administering the Advertising Program and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.

Phone

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