Westmont Adopt-A-Planter Program Signup Form

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Please fill out this form to sign up for the Westmont Adopt-A-Planter Program. Participation is limited and will be chosen on a first-come, first-served basis. Please click SUBMIT at the end of this form so that your request is received. For more information, contact Village of Westmont Horticulturalist Chadd Devries at cdevries@westmont.il.gov.

Name *

Address *

Phone *

Email *

Choose one. *

Resident

Business

Organization

Other:

YES, I am interested in participating in the Westmont Adopt-A-Planter Program. I understand that if accepted, I will be responsible for designing a planter (choosing plants and flowers, to be approved by the Village of Westmont), planting the flowers, and then maintaining (weeding, etc.) the planter over the summer and fall. *

Yes

YES, I understand that the Village of Westmont will review and approve planter designs before planting begins, and once approved, the design of the planter must not change. *

Yes

I would like to choose the location of my planter, if possible. *

Yes

I have no preference

Using this map, please list the the number of the planters that you might prefer. Please note, specific planters will be assigned on a first-come, first-served basis.

Option 1

Clear selection

Please denote the quantity of planters you are willing to adopt. (Numbers can range from 1-3) *This is not your planter location, just the amount of planters you are willing to plant.

1 Planter

2 Planters

3 Planters

Clear selection

I understand the Village of Westmont will do their best to accommodate my preference, but cannot guarantee my choice. *

Yes

Please list in detail your concept for the planter (types of plants, flowers, colors, number of each item, etc.) *

The Village of Westmont will create an adoption banner/sign for each planter. Please tell us how you would like yourself, family, or business to be listed, in 35 characters or less. (IE: The Bob & Carol Brady Family, Joe's Meat Market, etc.) *

Please let us know if you have any questions. Be sure to click SUBMIT at the end of this form.

Submit

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