Proclamation/Certificate Request Form

This form has been created to expedite your request for a proclamation or certificate.  The Mayor is hopeful of accommodating every request.  Your completion of this form will help the Mayor in that task.

Please provide the following information:

* 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:



* 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:
* Briefly describe the purpose of the proclamation or certificate or the message that you would like to convey:
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:

The Office of the Mayor will respond to this request in writing.  Until written confirmation is received, all requests are pending and should not be referenced in invitations or announcements printed or otherwise.  Please allow 21 days for processing.