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2. Contact Name*
4. Daytime Phone Number*
5. Email
7. Event*
9. Event Date(s)*
   Event Date(s) Start Date

   —

   Event Date(s) End Date
10. Event Time(s)*
    Event Time(s) Start Time

    —

    Event Time(s) End Time
12. Event Address*
14. City
15. State
16. Zip Code
18. Message
    Type the message you would like to be displayed and indicate if you are requesting the message to show on the sign at City Hall, the sign at the Senior Center, or both.
    
    Please keep all information brief due to space constraints.
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20. Submit

* indicates a required field