Sherman Green Banner Request Form

Organization Information. Please submit your request at least two weeks in advance.

Organization Name

Organization Type

Government
Not-for-Profit
School/School Group
Other

Other Organization TypeIf Organization Type is 'Other' please specify the Type of Organization:

Organization LocationIs your Organization Located in Fairfield or Southport?

YesNo

Contact First Name

Contact Last Name

Contact Phone Number

Email Address

Event Information

Event TitleTitle or Name of the Event

Start DateFirst Day of the Event

End DateLast Day of the Event

Start TimeEnter the time the Event starts if relevant e.g. 9:00 AM

End TimeEnter the time the Event ends if relevant e.g. 8:00 PM

Event LocationIs your event being held in Fairfield and/or Southport?

YesNo

Event VenueWhere specifically is your event being held (e.g. Jennings Beach, McKinley School, etc.)?

Fairfield ParticipantsHow many participants do you expect from the Town of Fairfield?

Hanging Information

Previous BannersWhen was the last time your organization hung a banner?

Requested Hanging DateBanners are hung for a maximum of two consecutive weeks beginning on a Monday. Indicate which Monday you would like your banner to go up.

Duration of HangingWould you like your banner hung for one or two weeks?

1 week ($30)
2 weeks ($40)

Other

Additional Advertising OptionsThe Town of Fairfield offers additional advertising opportunities. Please check any boxes you'd like to be considered for:

FairTV Education Cable Channel
FairTV Government Cable Channel
Town Website Event Calendar

Comments or QuestionsEnter any comments or questions: