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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Email Address*
13. Phone Number*
15. Type of Proclamation

    1. Council Meeting (Usually scheduled for the 2nd and 4th Tuesday of each month)
    2. Presented at an event (please put event details in the additional comment box below)
    3. Picked up at City Hall, 419 Fulton Street
    4. Mailed (please put the address in the additional comment box below)
17. If approved for a Council meeting, two people may accept. Please provide their names/titles below:
19. Title of Proclamation *
21. Has this proclamation been presented before?
    -- Select One --yesno
23. If you answered "yes" above, please provide the month and year.
25. Date(s) of Proclamation *
27. Deadline of Proclamation*
29. Purpose of Proclamation *
31. Draft Language of Proclamation (4-6 whereas clauses). If attaching a Word document below, please type in "wording attached".*
33. If you'd prefer, please upload an editable document (Word preferred) of your draft language.
35. Additional Comments/Feedback
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field