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2. Application Date*
   Application Date
3. Name of Organization*
5. Contact Person*
6. Email Address*
8. Address*
10. City*
11. Zip Code*
13. Phone Number*
15. Fee

    There is a monthly charge of $5 per pole for installation and removal of banners. Payment is due before the installation date. Please make checks payable to the City of Peoria.

17. *POLICY

    The City DOES NOT allow advertising on the Right-of-Way, which includes banners.

21. Time Frame For Installation

    Banners are installed on the FIRST of each month until the LAST day of the month. (Weather permitting)

    *The months of November and December are not available.

22. Month(s)*

    1. January
    2. February
    3. March
    4. April
    5. May
    6. June

    1. July
    2. August
    3. September
    4. October
    5. November
    6. December
24. Locations

    Select the location(s) for each banner zone. The availability of each location can be found here.

    *There are two banners per pole.

26. Downtown

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    15. 15

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    13. 28
    14. 29

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    14. 43

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    14. ALL AVAILABLE DOWNTOWN LOCATIONS
28. Northwoods Mall

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    12. ALL AVAILABLE NORTHWOODS MALL LOCATIONS
29. Sheridan Village

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    22. ALL AVAILABLE SHERIDAN VILLAGE LOCATIONS
30. Riverfront Village

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    9. ALL AVAILABLE RIVERFRONT VILLAGE LOCATIONS
33. Bob Michel Bridge

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    4. ALL AVAILABLE BOB MICHEL BRIDGE LOCATIONS
35. Number of Banners to be Dropped Off*
36. Picture or Drawing of Banner

    If you have a picture or drawing of the banner, please upload it.

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field