Required fields are marked with asterisks (*)

Point Clark CC Digtial Sign Request Form

Thank you for your interest in submitting a request for display on the Point Clark Community Digital Sign.

Please complete the form below and we will review your request. We will respond to your request.

Please note, the Director of Community Services reserves the right to decline any request

If you have questions, please contact Huron-Kinloss Community Services Department at recreation@huronkinloss.com or call 519-395-2909.

Group/Organization Name:

Contact Name:

Email Address

Mailing Address

Home Phone Number:

Business Phone Number:

Request Date Submitted:

Request Period for Posting (Start Date to End Date)

Message (Maximum 3 Lines and 20 characters per line

Please Sign

Clear