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2. 
4. Adopt - A - Spot Status*

   1. NEW
   2. Renewal
6. Organization Type*
   -- Select One --Small Business (<100 employees)Large Business (>100 employees)Faith-BasedSchoolNonprofitGovernment AgencyClubNeighborhoodYouth GroupOther
8. Organization Name*

   Please enter your organization name EXACTLY as you would like it to appear on your ADOPT-A-SPOT Sign.

10. Address
12. Address Line 2
14. City
15. State
16. Zip
18. Phone*
19. Email*
21. District of Business/Group Location
    -- Select One --District 1- Jeff CasperDistrict 2 - Kenny GreenDistrict 3 - Jennifer VidlerDistrict 4 - Tandy BoroughsDistrict 5 - B.W. SmithDistrict 6 - Debbie Anderson

    To locate the Council District your business or group is in, please review the Council District Map. 

23. ADOPT-A-SPOT Location

    I would like to adopt the following location (please select your top 2 choices):

25. Choice 1 Location Name
27. Choice 2 Location Name
29. Other

    If your organization is interested in adopting a location that is not currently listed as available, submit your suggestion to Keep Mesquite Beautiful and we will review it for adoption. 

31. Pending approval of location, your group agrees to the following:
    • Adopt the chosen area for 2 years.
    • Conduct cleanups of litter in the adopted area at least six times per year.
    • Submit timely online reports about all cleanups to Keep Mesquite Beautiful to maintain good standing in the program.
    •  Sign the Adopt-A-Spot Agreement established by Keep Mesquite Beautiful and the City of Mesquite.
33. Pending approval of location, Keep Mesquite Beautiful agrees to the following:
    • Coordinate the installation of your sign.
    • Provide your group with free supplies and safety guidelines, by request, if needed.
35. 
36. 
38. Acknowledgement *

    I have read the above and attached Adopt-A-Spot Contract and I understand all of its terms and I sign voluntarily and with full knowledge of its legal consequences.

    1. I AGREE
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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