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2. Organization Name*
4. Plow Drop Off Date*
   Plow Drop Off Date
6. Plow Pickup Date*
   Plow Pickup Date

   Plows must be completed and ready for pickup by October 31. 

   PLOWS WILL BE PICKED UP ON OR BEFORE OCTOBER 31, REGARDLESS OF COMPLETION STATUS. 

   *Pick-up dates may be subject to change based on forecasted weather. 

   
   

8. Plow Drop Off Location/Address*
10. City*
12. Plow Drop Off Location*

    Please include a description and photos of the location you would like the plow to be placed at.

    If you or your organization has participated in the Paint-A-Plow Program before and would like the plow in the same location as previous years, please write "Same Location."

    *Plow drop off locations are at the discretion of Public Works

14. Plow Drop Off Location Photos
16. Contact Name*
18. Email Address*
20. Phone Number*
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field