2. 

3. Mural Host/Sponsor Inquiry Form

5. Thank you for your interest in support the CENTERpiece Mural Project!
   
   Please use the form below to submit your information to host and/or sponsor a piece of artwork. Please note that you can both sponsor and host, just host, or just sponsor.
   
   A City of Midland staff member will be in contact with you upon receipt of this form to further discuss your application. For more information on the CENTERpiece Mural Project, click here

7. About You

9. Applicant Name*
10. Applicant Business Name*
12. Applicant Email*
13. Applicant Phone Number*

15. Host a Mural

    Note: If you are interested in sponsoring but not hosting a mural, please skip this section.
17. Proposed Mural Property Address
19. Building/Property Owner Name
21. Proposed Mural Location
    Please provide as much detail as possible on the proposed location of the mural, including wall location (N/S/E/W), wall's building materials, adjacent streets or properties, etc.

23. If the building/property owner's information is different from applicant, please provide the following:

25. Building/Property Owner Mailing Address
27. Building/Property Owner Email
28. Building/Property Owner Phone Number

32. Sponsor a Mural

    Note: If you are only interested in hosting a mural, please skip this section.
34. Sponsors will be given the opportunity to select the mural they'd like to sponsor on a first-come, first-serve basis.
    To view the current murals, please visit midlandcentercity.com/murals.
36. I'm interested in sponsoring CENTERpiece in:

    Please select all that apply

    1. 2019
    2. 2020
    3. 2021
    4. Years beyond 2021
37. Upload your logo

41. Signatures and Agreement

43. The undersigned signature affirms that the information submitted herein is true and accurate to the best of my knowledge.
45. Electronic Applicant Signature*
46. Date *
    Date
Leave This Blank:


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

    This field is not part of the form submission.

50. Submit

* indicates a required field