* Required

Contact Name*required

Business/Group (if applicable)

Address of Display*required

Phone Number

Email Address*required

By submitting this entry form, I authorize the Town of Ellington to publish photos of my property to appropriate website (Facebook, Instagram, Twitter, Town website).

I also authorize the Town of Ellington to publicize my address for individuals who wish to view the displays in person.

Online Signature*required

My signature indicates that I approve the above authorizations.

Attach File

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Attach File

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Attach File

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Attach File

Max file size: 10 MB

Attach File

Max file size: 10 MB