HELP
US TO FIND YOU IN CASE OF AN EMERGENCY
IDENTIFY YOUR HOME WITH A 9
1 1 REFLECTIVE HOUSE SIGN
For more information or to place an
order:
570-686-3696
Name:
____________________________ Telephone
Number: _______________________
House Number*: ______
Street Name: __________________ Community: _____________
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□ Sign only $12.00 ea. How many: ____ □ □
□ Sign with a post $15.00 ea. How many: ____
Vertical only Horizontal
Total amount due $ ________ Vertical
* Pike county residents
who do not know their physical street address (house number) may call the
Please print this page and mail the filled out information along with
your payment to:
570-686-3696
PLEASE ALLOW 2 – 3 WEEKS, WE WILL CALL
YOU WHEN YOUR SIGN IS READY