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Idaho Adopt-A-Highway Program Application

Name of Volunteer Group:
Name of Contact Person:
Mailing Address:
City, State, Zip Code:
Date of Application:
Day Phone of 1st Representative:
Name of Alternate Representative:
Alternative Representative Phone:
Total Number of Participants:
Number Under 18:

Highway Section you are interested in adopting:

Highway Number:
Milepost: To: 
Additional Identifying Information:

Alternate Section if first choice is unavailable:

Highway Number:
Milepost: To: 
Additional Identifying Information:

Note: Fill out group name as you want the sign to be written.  Sign shall be one or two lines whenever possible.  Maximum length of line is limited to 17 characters in length.  An alternative representative is required for organizations.

Page Last Modified: 2/3/2006 4:18:37 PM

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Idaho Transportation Department
3311 W. State Street ยท P.O. Box 7129
Boise, ID 83707-1129