Electronic Message Sign Request Form

Please read the Electronic Sign Usage Policy before requesting information be placed on

the electronic message sign. Note that sign usage is limited to non-profit community and

civic groups holding events in Kippens. If you accept the conditions of this policy, then

send a request at least two weeks prior to your event with the following information:

 Organization Name

 Contact Person

 Contact Number

 Email Address

 Date of Event

 Type of Event

 Time of Event

 Location of Event

 Date(s) the Message should appear on the sign

 Content of Message

Messages appear best with four lines per screen. There is a two screen maximum per

message. Characters per line vary depending on font size – messages appear best with 17

characters or less per line…

Message:

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Requests can be made in writing and delivered to the Town Office at 2 Juniper Avenue

or emailed to townmanager@kippens.ca