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2. First Name*
3. Last Name*
5. Address *
7. Phone Number*
8. e-mail address*
10. Reason for Proclamation*
12. Name of Individual*
14. Name of Group or Organization *
15. Proclamation Classification*
    -- Select One --PublicPrivate
17. Title of Event*
18. Proclamation Date*
20. Please provide a minimum of four facts to be considered for the proclamation. Submitting a draft of the document requested will expedite the process.

    EXAMPLE:

    1-Information about the organization or event

    2-Why is this important?

    3-Include facts and history.

    4-How does this relate to the community?

24. Supporting Document, if applicable
26. Complete the following: NOW, THEREFORE, BE IT RESOLVED, that the Mayor and the City Council, do hereby proclaim,
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field