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Electronic Advertising Application

140 Main Street
Schwenksville, PA 19473
Tel. 610-287-7442          Email: info@schwenksville-pa.org          Web: www.schwenksville-pa.org

Applicant Name:

Name of Business or organization:

Are you a Not for Profit that is located in the Borough or services the Borough Directly ? Yes 

Complete Address:



No. of Days Requested:  

List the desired dates: 

Please print clearly the message you want displayed (15-18 characters per line).  Please note that 3 lines works best for spacing and size of font best visible.
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
 Attach file with message if desired:

Special Requests or Comments:

Payment Method:  Check via  US Mail  Check via Drop-off or in person  MuniciPay On-line Payment (after submitting form choose make a payment from Home Page)

Note: Dates will not be reserved until payment is received in full.  Please see fee schedule to calculate fee or contact Gail Philips for assistance.