Mayoral Proclamation Request

* denotes a required field  
* Purpose of Proclamation:
(i.e. retirement, business grand opening/ribbon cutting, anniversary, special recognition, etc.)
* Date of Proclamation/Event Presentation:
* Location/Address of Presentation:
* On-site Telephone Number/Cell number:
* Date Proclamation Needed:
* Delivery of Proclamation/certificate:

Pick up at Mayor's Office

* Mayor's Presence Requested at Presentation:
(If yes, please refer to the Mayor's Event Request Form and submit with this request)

* Full name, address, telephone numbers, and e-mail address of person(s) or organization receiving the proclamation or certificate:
* 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:
* Please include a draft of your proclamation/citation:
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:  
* Full Name:
* Date:
* Email Address:
* Cell/Primary Phone Number: