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Proclamation Request Form
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City, State, Zip Code
Name as it should appear on the Proclamation (E.g. Bike Safety Day, Constitution Week)
Date to appear on Proclamation
What is the deadline for this Proclamation? (Requests must be made three weeks prior to this date.)
Please provide enough information to complete the Proclamation (at least five sentences). See the Example provided on the webpage.
Is the Proclamation going to be presented during a City Council Meeting?
City Council meetings are the first and third Tuesday of each month, held in the Council Chambers located in Memorial Auditorium, 1300 7th Street, beginning at 8:30 am.
Please indicate which meeting you would like to have it presented.
Of which Month?
Is the proclamation going to be presented at an event?
Date of Event:
Time of event:
Location of event:
If you would like your proclamation presented by a City Council member, please contact me at firstname.lastname@example.org or 940-761-7404.
Have you requested a Proclamation from the Mayor's Office before?
If "Yes" what was the name and approximate date of the Proclamation?
If the Proclamation is going to be picked up please provide the name and phone number of the person to be contacted when the document is ready.
For questions please contact Pam Burch at 940-761-7404.
* indicates required fields.
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