Post to Bulletin Boards

2. Name*
3. Organization Name*

   If none, enter "N/A"

5. Address*
7. City*
8. State*
9. Zip Code*
11. Email Address*
12. Phone Number*
14. If the applicant is an organization, please provide a description of the organization including any local, national, or international affiliation, a brief history of the organization, the organization’s website address (if any), its nonprofit status, and any other relevant information.*

    If none, enter "N/A"

16. Please upload the flyer you would like displayed.*

    Please note, only PDF files will be accepted.

17. Please list the dates or date range during which you would like the flyer to be displayed.*
19. Review and agree to the conditions below:*

    1. By submitting this application, I hereby acknowledge that I am in receipt of and that I have read and understand the Burlington Public Library's Display Case, Art Gallery, and Bulletin Board Policy and agree to abide by all the requirements set forth therein.
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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