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2. SIGN ORDER FORM - PUBLIC WORKS DEPARTMENT

   Please fill out one sign order form per property/ development. 

   If you have multiple addresses or locations for which signs are needed, please fill out a separate form per location. 

4. Form Submission Date*
   Form Submission Date
6. First Name*
7. Last Name*
9. Phone Number *
10. Email Address*
12. Street Sign Information

    Each Street Sign costs $150.00 and comes with a pole and hardware. 

    Please indicate the text requested for each street sign you are ordering. 

14. Street Sign #1
17. Street Sign #1 Location

    Provide nearest address.

    If part of a subdivision, include a copy of the subdivision plan showing the approved streets. 

18. Subdivision Plan
20. Street Sign #2
22. Street Sign #2 Location

    Provide nearest address.

    If part of a subdivision, include a copy of the subdivision plan showing the approved streets. 

23. Subdivision Plan
25. Street Sign #3
27. Street Sign #3 Location

    Provide nearest address.

    If part of a subdivision, include a copy of the subdivision plan showing the approved streets. 

28. Subdivision Plan
30. Total # of Street Signs Ordered*
31. Total Charge of Street Signs Ordered*

    Multiply $150 by the number of street signs ordered

33. Other Sign Information

    Please select which other signs you are ordering and the number of each sign.  Each sign costs $150.00. 

35. Other Sign Type Location*

    Signs must be for the same property or within the same development. 

36. Site or Subdivision Plan Upload

    If the property is subject to a Site Plan or Subdivision Plan, please attached a PDF of the approved plan. 

38. Number of Stop Signs*
    -- Select One --012345678

    Select the number of Stop Signs to be ordered. 

39. Number of Kids Playing Signs*
    -- Select One --012345

    Select the number of Kids Playing Signs to be ordered. 

40. Number of Dead-End Signs*
    -- Select One --012345

    Select the number of Dead-End Signs to be ordered. 

42. Number of No Parking Signs*
    -- Select One --012345678910

    Select the number of No Parking Signs to be ordered. 

43. Number of Handicap Parking Signs*
    -- Select One --012345678910

    Select the number of Handicap Parking Signs to be ordered. 

45. Total # of Other Signs Ordered*
46. Total Charge of Other Signs Ordered*

    Multiply $150 by the number of other signs ordered.

48. Sign Installation Information

    Please select off how the signs shall be installed. 

50. Sign Installation Location*

    Signs must be for the same property or within the same development. 

52. Signs to be installed by: (Select One)*

    1. I will install the signs myself. Please email me when the signs are ready to be picked up.
    2. Public Works to install the signs on my behalf and charge me $50 for the first sign and $30 for each additional sign within the same development.
54. # of signs to be installed by Public Works. *
55. Total Charge of Installation by Public Works*

    $50 for first sign plus $30 for each additional sign within the same development. 

57. Disclaimer

    Signs will be ready for installation within 7 to 10 business days upon receipt of: 

    1. The completed Sign Order form.

    2. Full payment of all signs ordered; and 

    3. Full payment of installation costs (if applicable). 

    Checks must be made payable to the "Town of Wells" and mailed/ delivered to the Public Works Department. 

    Address: 585 N. Berwick Road, Wells, ME 04090

    Phone: 207-646-3014

59. Office Use Only

    Section filled out once form is printed by DPW, reviewed and approved. 

61. Total Charge for all signs and installaton
63. Payment Method
    -- Select One --CheckCredit Card ChargeCash
64. Check # if Applicable
66. Paid by

    Name and Mailing Address

68. Date Payment Recieved
69. Date Sign Order Approved
Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit

* indicates a required field