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2. Pursuant to Chapter 36 Article I - Naming of Municipal Facilities of the Rocky Hill Town Code. Through the submission of this form, you are able to request the naming of a Town Facility for memorial of other reasons. You request will be be presented to the Mayor and the Town Council for further review.
4. Current Name of Municipal Facility or Area*
6. Proposed New Name of Facility*
8. Your First Name*
9. Your Last Name*
11. Address1*
12. Address2
14. City*
15. State*
16. Zip*
18. Your Email Address:*
20. Reasons for Your Request
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

* indicates a required field