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2. Description
   A picnic table permit is required to rent picnic tables. Picnic tables may be rented for $5.00 per table. The permit fee is NON-REFUNDABLE. All picnic tables must remain within the city limits of Pontiac. Permits issued are subject to the availability, policies, and regulations of the city of Pontiac. The Pontiac Parks and Recreation Department reserves the right to reject any permit applications.
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone Number*
17. Email Address*
19. Number of Tables Requested*
21. Date for Pick-Up*
    Date for Pick-Up
22. Time for Pick-Up*
    Time for Pick-Up Start Time

    —

    Time for Pick-Up End Time
24. Date for Return*
    Date for Return
25. Time for Return*
    Time for Return Start Time

    —

    Time for Return End Time
27. PLEASE READ
    Submitting this form does NOT guarantee your picnic table rental. You will receive an email or phone call from one of our staff members to confirm your rental. Rental will NOT be final until the permit fee is received. Payment can be taken over the phone by calling us at 815-844-6818, by stopping into the Rec Center at 900 N. Elm Street, Pontiac, IL 61764, or by mail to P.O. Box 221, Pontiac, IL 61764.
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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