911 ADDRESS SIGN ORDER FORM

oklahoma, grove, grand lake, 911 signage

Signs are one (1) sided 6" x 18" aluminum with reflective material and pre-drilled holes on each end (example shown above). Most signs are ready for pick up within two (2) weeks. The City of Grove is unable to take on-line payments at this time, payment will be taken at time of sign pick up.

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FORM TITLE

SIGN PRICE $

APPLICANTS FULL NAME *

Please include First and Last Name

APPLICANTS ADDRESS *

Please include building or apartment number (if applicable)

APPLICANTS CITY, STATE, ZIP *

APPLICANTS PHONE NUMBER *

Including Area Code

HOUSE NUMBER *

Numbers you are wishing to have printed on your sign

HORIZONTAL OR VERTICAL *

SIGNATURE OF APPLICANT *

DATE OF SIGNATURE

edit-submitted-date-of-signature-month

edit-submitted-date-of-signature-day

edit-submitted-date-of-signature-year

AGREEMENT BOX *

I understand that checking this box constitutes a legal signature. I understand payment is due upon completion of sign

911 ADDRESS SIGN ORDER FORM

Contact Information