Inquiry Form
I am interested in more information concerning:
____ Endowment
____ Benches
____ Trees
____ Lamp post
____ Swings
____ The Mister Water Fountain
____ Person / Dog Drinking Fountain
____ Other gift, please specify _________________________________________
____ Volunteering
I prefer to be contacted by:
Phone: __________________________________________________________
Cell: ____________________________________________________________
Best time to reach me: _______________________ AM / PM
E-Mail: __________________________________________________________
Standard Mail:_____________________________________________________
_______________________________________________________________
Name:___________________________________
Date:____________________________________
Please return by mail to :
Pekin Park District
Attn: Bob Blackwell
1701 Court St.
Pekin, IL 61554
or by fax to: 309-353-5337
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