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2. For more information on eligibility or how to apply, please follow the link below:
   Sign Grant
4. Business Name:*
6. How long have you owned the business?*
7. Do you own the building?*

   1. Yes
   2. No
9. Physical Building Address:*
10. Business Mailing Address (if different):
12. Business Contact Name:*
13. Title:*
15. Contact Phone:*
16. What type of business is it?*
18. What services or goods are offered?*
19. Estimated number of customers or visitors per day:*
21. Number of Full-time Employees:*
22. Number of Part-time Employees:*
23. How many live in Dalhart?*
24. Does the business remit sales taxes to the Texas State Comptroller?*

    1. Yes
    2. No
26. Explain why you believe a new sign would benefit your business:*
28. Is the sign for a new location for the business?*

    1. Yes
    2. No
29. Is the sign to replace or improve an existing sign?*

    1. Yes
    2. No
30. What is the total cost of the sign (including permit costs)?*
32. Attach the following (REQUIRED) to the Application:
34. Professional cost estimate or quote for the price of the sign and its materials and installation OR other evidence of cost:*
35. Photo(s) of the face of the building showing where the sign will be attached, or where the sign will be located:*
36. Drawing(s)/image(s)/rendering(s) showing the design of the sign and its materials:*
38. Wording, fonts, and graphics or images that will be used:*
39. Dimensions of the sign:*
41. I hereby certify that the information provided in this application and attachments is true, correct, and complete to the best of my knowledge. Omissions or submission of incorrect information will render this application invalid.
43. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
45. Electronic Signature
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field