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2. First Name*
3. Last Name*
4. Organization
6. Email *
7. Phone Number*
9. Address*
11. City*
12. State*
13. Zip Code*
17. Starting date of the proclaimed day, days, week, or month.
    Starting date of the proclaimed day, days, week, or month. Start Date

    —

    Starting date of the proclaimed day, days, week, or month. End Date
19. Person, Group, or Organization Being Recognized*
21. Why is this achievement or event special to our community and why should a day, week, or month be designated?*
23. Body of Proclamation*
    The body of the proclamation (the whereas sections) is limited to 150 words and five whereas sections. Please enter your desired wording and the information you would like included in the body of the proclamation.
25. Attach a File
    If you have a document with the information or desired wording, please upload it here.
29. Would you like this proclamation read and presented at a future Governing Body meeting? *
    -- Select One --YesNo
30. If so, who, from your organization, will be in attendance to accept it?
    If you would like your proclamation to be presented at a Governing Body meeting, there must be at least one representative in attendance to accept it.
32. Would you like to pick up this proclamation from City Hall or would you like a copy emailed to you?
    -- Select One --EmailPick up

    Proclamations also can be issued without reading or presentation at a Governing Body meeting. Please indicate if you want to pick it up or if you would like a copy emailed to you.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field