Scarecrow Registration Form

1. Classification
  Business
  Group/Organiation
  School Group
  Individual

2. Scarecrow name:

3. Single or Multiple display?
  Single
  Multiple

4. Scarecrow created by: Name to show on tag

5. Display location - Locating downtown is prefered
  Store/Property owner using own location
  No preference; Give me a good spot
  My preferences are below.
First choice would be near:

Second choice would be near:

6. Scarecrow will be:
  Free Standing
  Seated (needs bench location)
  Tied to a pole

7. If your scarecrow needs to be located near a specific structure (i.e. downtown bridge), give details.

8. Contact information: Name of Individual, Business or Organization

If the above is not an individual, name of contact person:

9. Preferred contact method:
  E-mail (give address below)
  Phone [text] (give number below)
  Phone [voice] (give number below)

10. Street Address (only if scarecrow will be located there)

Badge for Tectite supplied contact form