| * denotes a required field |
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* Purpose of Proclamation:
(i.e. retirement, business grand opening/ribbon cutting, anniversary, special recognition, etc.)
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| * Date of Proclamation/Event Presentation: |
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| * Location/Address of Presentation: |
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| * On-site Telephone Number/Cell number: |
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| * Date Proclamation Needed: |
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| * Delivery of Proclamation/certificate: |
Pick up at Mayor's Office
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* Mayor's Presence Requested at Presentation:
(If yes, please refer to the Mayor's Event Request Form and submit with this request) |
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| * Full name, address, telephone numbers, and e-mail address of person(s) or organization receiving the proclamation or certificate: |
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| * Full name, address, telephone numbers, e-mail address of person(s) or organization, and relationship to recipient(s) of the person requesting the proclamation or certificate: |
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| * Please include a draft of your proclamation/citation: |
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| Due to the volume of requests received and the time needed to prepare proclamations or certificates, all requests must be submitted 6 weeks in advance and include all background information and other supporting materials necessary for the proclamation or certificate to be written. |
| Submitted by: |
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| * Full Name: |
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| * Date: |
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| * Email Address: |
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| * Cell/Primary Phone Number: |
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