2. Full participation in the 2020 Census is important for Wheat Ridge! The City is seeing a lower response than is desirable in east Wheat Ridge and so we have developed a yard sign campaign. Request a yard sign to promote the Census here and staff will deliver one to your property. The Census is available through October 31, 2020.
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone number for questions*
17. Email address*
19. How many yard signs should we deliver to this address?*
    -- Select One --12345
21. Any special delivery instructions?
23. By checking this box, I certify that I have permission to place Census yard signs on this property.*

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

    This field is not part of the form submission.

27. Submit

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