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2. Thank you for your continued participation in the Adopt-A-Spot program!

   We are excited to offer you the opportunity to renew your commitment to keeping your spot clean and beautiful for another year.  Your contributions are vital to the success of this program and make a real difference in our community.

4. Please complete this form to confirm your intent to renew your participation in the Adopt-A-Spot program.
6. Name of Applicant (Individual or Group)*
7. Contact Person (if applicable)
9. Email Address*
10. Phone Number*
12. Original Adopt-A-Spot Adoption Date*
    Original Adopt-A-Spot Adoption Date
14. Renewal Confirmation*

    1. I agree

    I confirm that I would like to renew my commitment to the Adopt-A-Spot program for another year.

16. If your contact information has changed, please update the fields below:
18. Mailing Address:
19. Phone Number:
21. Acknowledgement*

    1. Yes

    I have reviewed and agree to continue following the Adopt-A-Spot Program Guidelines (http://ci.alamogordo.nm.us/1026/Adopt-A-Spot).

23. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field