Name


Company


Email Address

Telephone


Mailing Address


City, State, Zip

I am interested in forming a district in (city or county):

The district will be:
New
Renewed

I am interested in forming a district with the:
Choose One Parking & Business Improvement Area Law of 1989 Property & Business Improvement District Act of 1994 Local Ordinance Landscape & Lighting Act of 1972 Municipal Improvement Act of 1913 Undecided

I am interested in a district that is a:
Choose One Property Owner Improvement District Business Owner Improvement District Tourism Improvement District Restaurant Improvement District Wine Alliance Improvement District Landscape and Lighting District Assessment District for Flood Control Improvements Assessment District for Water Improvements

How many properties/businesses will be in your district?
Choose One 1 - 50 51-200 201 - 500 501 – 1000 1000+ Unknown

Have you discussed the proposed district with property/business owners?
Yes
No

If yes, what has the reaction been?

Please provide background information on the area the proposed district will be in, including the reasons for establishing a district:

How did you hear about us?

Questions / Comments