2. City of Bartow

   Beautification Award Nomination Form

4. Address*
6. City*
7. State
8. Zip Code
10. Property Type*

    1. Residential
    2. Commercial
12. Property Owner First Name*
13. Property Owner Last Name*
15. Property Owner Phone Number*
16. Property Owner Email Address
18. Submitted by:*
19. Submitted by:*
21. Additional Notes
23. Please attach supporting photos here:*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field