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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
13. Email Address
15. Description*

    Please include when and where the photo was taken.  Thank you for your submission!

17. Upload Picture Below*

    Click "Choose File" - Select your photo - Upload

    By submitting a photo, you grant the City of Bridgman permission to use the image on the City’s website, social media pages, newsletters, and other City communications. Submitted photos may be edited or cropped for formatting. By uploading a photo, you confirm that you took the photo or have permission to share it and that the City may use it without compensation.

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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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