Required fields are marked with asterisks (*)

Welcome to the Proclamation Request Form

Proclamation Information

Name of Organization / Community Group (If not applicable please enter your first and last name)

Proclamation Date (enter the date that the Proclamation is required for

Do you wish a signed copy sent back to You?

Yes

Mayor's Attendance is Required?

Yes

Contact First Name

Contact Last Name

Street Number

Street Name

Suite/Apt. Number

City/Town

Postal Code

Phone Number where you can be reached weekdays 8:30 am-4:30 pm

E-Mail Address

Proclamation Text (include the proclamation text in this box)

Or you can upload a file with your proclamation text

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Official Representative (You must acknowledge this statement in order to submit this form online)

By checking this box, I confirm that I am an Official Representative having authority to make this Proclamation Request

Consent for collected, stored and submitted data (You must accept the consent in order to submit this form online)

Yes, I give permission to the City to collect, process and store my data