DFFAAHT Historical Marker Application

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Please fully complete the Dora Franklin Finley African-American Heritage Trail (DFFAAHT) of Mobile application form and provide supporting documentation.

E-mail *

Provide Name of Person/Place/Event/Subject - for the Historical Marker*
*

County
*

Sponsoring Organization(s) or Person(s)
*

Sponsor's Address
*

Website url

Contact Person
*

Contact Person's Mailing Address (if different from Sponsor)

Phone Number (include area code)
*

Marker needed before a specific date?
*

YYYY

If the Sponsor plans to hold a marker event, do you want a DFFAAHT representative to give remarks? Provide event details (or list "Not Applicable")
*

Desired Marker Placement (describe specific location)
*

Has Placement Permission been secured to install the marker?
*

Yes

If Placement Permission has been secured, identify the authorizing party/agent.
*

Has funding for the marker been secured?
*

Yes

If marker funding has been secured, identify the responsible party/agent.
*

Select one of the below marker sizes and type:
*

LARGE Marker (45 X 45) with DIFFERENT text each side (character count approximately 1,028/side)

LARGE Marker (45 X 45) with SAME text each side (character count approximately 1,028/side)

SMALL Marker (26 X 40) with DIFFERENT text each side (character count approximately 494/side)

SMALL Marker (26 X 40) with SAME text each side (character count approximately 494/side)

Draft of Proposed Marker Text (Side 1 & Side 2)
*

List Supporting Documents and Sources (including links and citations). Provide relevant scanned documents via email attachments.
*

Submit

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