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Sign Up Here for the
2023 Arlington North West Rotary's
Flag Program
Cost is $50.00
Contact Information
If you have any questions, please contact Mike Becknal, Flag Program Administrator at 817-727-5062 or by e-mail, at mike.becknal@att.net
Your Information
Is this a new subscription or were you a subscriber last year (renewing)
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New Subscriber
Renewing Subscriber
First Name
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Last Name
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Email
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Preferred Phone
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Secondary Phone
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Street Address (where flag is to be placed)
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PO Box (IF billing is to go there in future)
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City
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State
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Zip/Postal Code (NOTE We service 76005, select areas of 76006, 76011, 76012 and select areas of 76013. If you are in 76016 or 76017, go to www.arlingtonsunriseflags.org to see if they service your area.
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Neighborhood/Subdivision (if known)
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Gate or Private Entry Code for Community?
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Comments
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I consent to the collection, storage, and use of my information by Arlington North West Rotary Club as described in this
Privacy Policy
. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.
Your Partner/Guest Information
Is this a new subscription or were you a subscriber last year (renewing)
:
-- -- Please Select -- --
New Subscriber
Renewing Subscriber
First Name
:
Last Name
:
Email
:
Preferred Phone
:
Secondary Phone
:
Street Address (where flag is to be placed)
:
PO Box (IF billing is to go there in future)
:
City
:
State
:
Zip/Postal Code (NOTE We service 76005, select areas of 76006, 76011, 76012 and select areas of 76013. If you are in 76016 or 76017, go to www.arlingtonsunriseflags.org to see if they service your area.
:
Neighborhood/Subdivision (if known)
:
Gate or Private Entry Code for Community?
:
Comments
:
I consent to the collection, storage, and use of my information by Arlington North West Rotary Club as described in this
Privacy Policy
. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.
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