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Coalition for Kids
Banner Space Application
Once your request has been approved, there is a non-refundable $25 fee for hanging a banner on
the CFK fence. Banner reservations are limited to 10 business days. The organization
requesting the banner space is responsible for hanging and removing the banner. A $15 removal
fee will be charged if the banner is not removed as scheduled. Banner content may not be
political in nature and CFK may refuse to approve a reservation if the banner content is perceived
as controversial. Please note that Coalition for Kids is not endorsing any organization, program
or event by offering banner space.
Today’s Date __________________________
Organization _______________________________ Contact Name _____________________
Contact Email ______________________________ Contact Phone ____________________
Mailing Address _______________________________________________________________
Dates Requested __________________ to ______________________
Description of Banner Content
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Complete this form and email to [email protected] or fax to 541-471-9403.
Make $25 check payable to Coalition for Kids and mail or drop off to:
223 SE M Street
Grants Pass, OR 97526
For CFK Use Only
Request Approved
___ No ___ Yes (Date _________) By _____________
Approval Confirmed ___ Phone
___ Email
By _______________
Payment Received
______ Date ______ Check #
Updated 8/29/2014 11:49 AM
C:\Misc. Forms\FORMS\Banner Space Reservation Form.doc