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Pine Island Lions Fly Your Flag Program Sign-up
Flags will be flown for 7 Flag Days: Armed Forces Day, Memorial Day, Flag Day, 4th of July, Labor Day, Patriot (9/11) Day, and POW/MIA Day.
Your contact information will only be used for this activity.
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* Indicates required question
Email
*
Your email
Type of Sign-up
*
Renewal (use this form instead:
https://forms.gle/MEsghw6mfASY2JSd8
)
New sign-up
Your Name
*
Your answer
Your Full Mailing Address
*
hit enter key to make multiple lines
Your answer
Your Phone Number
in case we need to contact your with questions about your enrollment in this program
Your answer
OPTIONAL number of ADDITIONAL flags to fly (extra cost)
Your answer
Flag Placement
*
Most people should select "at the address above". If you are requesting more than one flag, select each option that applies.
at the address above
at the Welcome Shelter community display
at another address specified below
Required
Other Address(es) to Fly Flag(s) (OPTIONAL)
only complete this section if you are flying flag(s) other than at your home address entered above
Your answer
If you have a sprinkler system, pet fence, or anything else buried in your front yard, please describe.
*
Your answer
Is there anything else you would like to share with us?
Your answer
Cost is $40 per year for all included flag days. Additional flags are $40 each. How will you be paying?
*
I will mail a check to the address below
I will pay via PayPal now using this link:
https://PayPal.Me/pineislandlions/40
(edit amount if owe >$40)
I would like a PayPal invoice sent to me. (It will come from
pineislandlions@gmail.com
)
Make checks out to Pine Island Lions Club and mail to:
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