2. This is the place to nominate yourself or your neighbor for the City of Margate's Home of the Month Award. Fill in the boxes below, and click the submit button to enter into the contest. Be sure to notify your neighbor if you plan on nominating them.
4. Thanks for participating!
8. Nominating My Home*

   1. Yes
   2. No
10. Nominee's Name
12. Property Address
16. Your First Name
17. Your Last Name
19. Address1
20. Address2
22. City
23. State
24. Zip
26. Phone Number
28. Email Address
30. Do you have City liens on your property or do you owe any sums to the City?

    1. Yes
    2. No
32. How long have you lived in this home for?
33. Upload your picture*
34. Approximate date of photograph*
    Approximate date of photograph

    Approximate date of photograph
36. Today's Date*
    Today's Date
38. Electronic Signature Agreement

    I understand that upon submission, this photograph, and all of the copy and trademark rights associated with the photograph, becomes the property of the City of Margate. I hereby grant permission to the City of Margate to use this photograph of my residence at their discretion with no compensation or credit to me, or to any party with an interest in the subject residence. I have read all of the attached program information and guidelines and agree to them. By selecting the I Accept button below, I agree that my initials (printed above) serve as my digital signature, authenticate this writing and will have the same force and effect as the use of a manual signature.

    1. I agree.
40. Electronic Signature
42. The City of Margate is a public entity subject to Chapter 119 of the Florida Statutes concerning public records. Under Florida law, e-mail addresses are public records. The information you are providing is subject for release in response to a public records request. All e-mail messages sent and received are captured by our server and retained as public records.
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field