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2. Special Event Name*
4. Non Profit Organization Event Sponsor Name*
6. WA State UBI# for Non Profit Organization*
   Required to verify non profit status
8. Event Date*
9. Start Date for Banner*
   No more than 14 days allowed
10. End Date for Banner*
12. Contact Name*
13. Contact Email*
15. Contact Phone*
16. Banner Size*

    1. Yes
    2. No

    I understand that the size of the banner must be 12 feet by 4 feet - exactly - and that banners larger or smaller than this size will not placed at the roundabout.

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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field