Required fields are marked with asterisks (*)

LED Community Sign Message Request Form

This request form is for the use of the following LED Community Signs:

Baysville: Southeast corner of Highway 117 and University Street, Baysville, ON
Dwight: 1012 Dwight Beach Rd, Dwight, ON

Requests for message display must be submitted at least one week prior to the start of the work week when the message is to be posted. Please refer to Policy AD-12.1 being the “Policy to Govern LED Sign and Messaging” for detailed procedures.

Date:

Name of Applicant (Organization or Individual):

Contact Name:

Contact Telephone:

Contact Email:

Please indicate the dates you wish to have the message displayed. (Note: messages are usually changed each Monday).

Your Message Request

Permitted messages include:
- Community events, functions, celebrations and appreciation; government messages; policing messages; and local fundraising events.
Messages not permitted include:
- Personal messages (e.g. birthdays, anniversaries) and business messages (e.g. sales, grand openings, store closings). Please see Policy AD 12.1 for details.
Baysville sign: maximum of 4 rows of text, 20 characters per row.
Dwight sign: maximum of 3 rows of text, 20 characters per row.

Line 1

Line 2

Line 3

Line 4 (available only on Baysville sign)