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2. Proclamation Application
4. Requested Proclamation Name*
6. Person or Event Name To Be Recognized*
8. Organization Name*
10. Brief History / Biographical Summary*
12. Start Date*
13. End Date*
15. Requested by First Name*
17. Requested By Last Name*
19. Requested By Email Address*
21. Confirm Email Address*
23. Address*
25. City*
26. State*
27. Zip Code*
29. Requested By Telephone Number*
31. Proclamation Description*
35. Proclamation
    The body of a proclamation is limited to 150 words and seven (7) "whereas" sections.
37. Where As 1
39. Where As 2
41. Where As 3
43. Where As 4
45. Where As 5
47. Where As 6
49. Where As 7
51. Attach a file
53. Delivery Method*
    -- Select One --MailPick Up City Hall 305 SW A Street
55. Mailing Address
57. City
58. State
59. Zip Code
61. Date*
    Date
Leave This Blank:


63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit Submit and Print

* indicates a required field