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2. Purpose:

   The #VOTProud program provides incorporated Tequesta residents the opportunity to take a Village of Tequesta flag with them on vacation.   

4. Are you an incorporated Tequesta Resident?*
   -- Select One --YesNo
6. Full Name (Adult Checking out Flag):*
7. Address:*
9. Email:*
11. Phone:
13. Amount of Time you Need Flag:*
15. I will return the Village Flag to the Village Clerk's Office within 3 days of returning from vacation:

    By typing your name, you are agreeing to the terms. 

Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

* indicates a required field