Greentown
Hometown Hero Project

Hero's Name *

First Name

Last Name

Sponsor's Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Checkbox *

I hereby grant Greentown Main Street Association permission to continue publicly posting the banner of the above named Hero within the town of Greentown and I agree to abide by all rules and constraints outlined by the Greentown Hometown Hero Project. I furthermore agree to contribute the required fee towards the maintenance of the Hometown Hero Banner project.

I understand that Greentown Main Street Association is not responsible for damage to the banner caused by natural disasters.

I agree to enroll in the Greentown Main Street Association Email Newsletter