Reflective Address Marker Order Form at ClayTownship.org

							
					JAY M. DeBOYER | 
Supervisor
					LISA WHITE | 
Clerk
					CONNIE S. TURNER
Treasurer

Clay Township Mainland Fire Department
REFLECTIVE ADDRESS MARKER ORDER FORM

The sign is bright green with white reflective numbers printed on both sides. They are easily visible day or night!

You may either:

If your form is not printing correctly please use our PDF version

Please complete the following information:

Name:
Address:
City, State, Zip:
Telephone:
Signs are $13.00 each. The sign will be ready for you to pick-up within 2-3 weeks. Please make checks payable to: C.T.F.F.A. Mail the check and this order form to: Clay Township Mainland Fire Department 9620 Ainsworth Clay Township, MI 48001 Please call (810)794-0966 to order or if you would like more information. Please fill in the boxes below with your address numbers. Note: If your address only has three or four numbers, just fill in the appropriate numbers of spaces.

Please choose to have either a HORIZONTAL or VERTICAL sign made. Vertical is shown to the right

Vertical	Horizontal