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2. 
4. Notice*

   By submitting this form, you are agreeing to your address being publicly displayed on the Shine Lights on Vadnais Heights map. Other personal information will not be shared.

   1. I understand and provide my consent for the City of Vadnais Heights to post my address as part of the Shine Lights on Vadnais Heights event.
6. Name
7. Business/Organization Name (if applicable)
9. Address of Display
11. City
12. State
13. Zip Code
15. Email Address
16. Phone Number
18. Display Type

    1. Residential
    2. Business
19. Share a photo of your display with us (Optional)
    Photo will be added to the Shine Lights on Vadnais Heights map.
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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