Please use this form to track the feedback received from those cities/towns you contact to champion them through the annual Banner City/Town cycle.

Be sure to list WHO you spoke to for each town, for future tracking purposes.

Name (first and last)*

Your Municipality*

Name of Town One*

Feedback/Notes based on outreach*

Check if this town remains in contention

Name of Town Two*

Feedback/Notes based on outreach*

Check if this town remains in contention

Name of Town Three*

Feedback/Notes based on outreach*

Check if this town remains in contention

Name of Town Four*

Feedback/Notes based on outreach*

Check if this town remains in contention

Name of Town Five

Feedback/Notes based on outreach

Check if this town remains in contention

Name of Town Six

Feedback/Notes based on outreach

Check if this town remains in contention

Name of Town Seven

Feedback/Notes based on outreach

Check if this town remains in contention

If you were assigned more than seven (7) towns, please list the others, along with feedback, below.

Please list any towns that are no longer in contention so we may modify our records.