Historic Home Owners

Blair Historic Preservation Alliance
Registry of Historic Homes -- PARTICIPATION FORM

Property Owner (s): ___________________________________________________________________________

Address: ___________________________________________________________________________________

Phone Number: ______________________________________________________________________________

Email Address: _______________________________________________________________________________

[ ] Yes
Yes, I'm happy that my property will be included on the BHPA Historic Home Registry. (At a minimum, this includes a record of your house address, any known history and a photograph — which can be provided by the BHPA.)

Listing Options:

[   ] Yes, include owners’ names
          EXAMPLE:
                 Bob & Jane Brown
                 a.k.a. The Rev. Jones House
                 1234 Smith Street
                 Built 1905

[   ] Do not include the owners’ names
           EXAMPLE:
                 [private]
               a.k.a. The Rev. Jones House
                 1234 Smith Street
                 Built 1905

[ ] Yard Sign, Yes
I would like to place a temporary yard sign for approximately one week (June 4-10, 2007 - week of Gateway to the West) in front of my house.

[ ] Yard Sign, No
My house may be listed on the Historic Home Registry but choose not to have a temporary yard sign in front of my home.

Historic notes:
_________________________________________________________

_________________________________________________________

Examples:
Bob & Jane Brown, current owners a.k.a. The Milton House 1234 Vine Streets Previous owners were, John Moore (about 1930's), Sara & Sam Sorren (between 1939-1972) Built by M.J. Milton, early merchant of Blair	[private], current owners a.k.a. The Rev. Jones House 1234 Smith Street Built 1905, Mansard Room, Second Empire Style Rev. Jones was the first preacher in the area. He was known for his hot temper and long sermons. All 14 of his children went on to higher education — becoming teachers, lawyers, preachers, and statesmen.