DDD Banner Order
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Please complete and submit this form for your Douglas Design District banners.
I would like to sponsor (1, 2 or 3) Banners...
My business name for the sponsored banner(s) is: *
Ordered by (Name): *
Total Amount to be paid $*
Check Number:
Date of Order: *
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Open the calendar popup.
By checking this box I agree to pay the amount noted on this form for the banner(s) ordered.*
UserEmailAddress*