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Community Flag Application

Submit the application below to request permission to raise your organization's flag on Northumberland County's community flagpole at the County Headquarters, located at 555 Courthouse Road in Cobourg.

Please note all submissions must comply with the Northumberland County 'Flags, Community Flags and Flagpole Policy'.

Contact Information

Name of Organization

Name of Representative

Address

Phone Number

Organization's Website

Event/Occasion and Organization Details

Name of Event/Occasion

Date or Time Period of Event/Occasion

Purpose of the Event/Occasion

Please provide a description of the applicant organization including any local, national or international affiliation, brief history and any other relevant information.

I have read and hereby acknowledge that this application complies with the Northumberland County ‘Flag Policy, Community Flags and Flagpole’ (pages 5 – 7).

I Agree

Authorized Signature

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Date

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Community Flag Application

Contact Information

Event/Occasion and Organization Details