This information will be collected and analyzed by LISC Western New York. Relevant feedback and suggestions collected will be included in LISC's Neighborhood Livability Planning Program and shared with appropriate partners. The ideas submit may be shared with the Pride in Place Buffalo website and collaborating partners. 

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* 1. What is your name? (First and Last)

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* 2. Email Address

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* 3. Phone Number

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* 4. What neighborhood do you live in?

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* 5. What is your zip code? 

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* 6. Please describe the kind of public art would you like to see in your neighborhood? (i.e. murals, sculptures, installations, landscaping art, etc.) What should the art represent?

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* 7. Do you have a photo or drawing of examples of public art that you would like to see in your neighborhood? 
Please upload.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 8. Where would you like to see more public art? Please specify an address, location, or intersection. 

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* 9. Do you know of an artist in your neighborhood who we should contact for future projects? Please provide their contact information below.

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* 10. I understand that the information I provided may be edited and shared both immediately and in the future on websites, in videos, and on other public online forums (email, social networking sites, newsletters, etc.).

Please provide your consent to the following:

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