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City of Prescott
city.staff@prescott-az.gov
201 S. Cortez Street
,
Prescott
,
AZ
,
86303
,
US
If you are a business, service provider, or faith-based organization and would like a Change for the Better Initiative donation box, please fill out and submit this form. You will need to come to City Hall to pick it up.
Name of Business
Business Phone Number
Business Contact Email
Full Address
Street Address
City
State
Zip
By signing, you agree to receive a donation collection container. You also agree to return the donations in full to the City of Prescott as directed by the City.
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First Name
Last Name
Email
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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
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