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2. 
3. APPLICATION FOR PROCLAMATION
5. Please complete the form and submit to the City Clerk. If you have draft language, please include as an attachment below.
7. For further information, feel free to contact the City Clerk at 321-837-7774
9. Date(s) of Proclamation:
11. Date Needed By:
13. Name of requestor & organization:
15. Requestor's complete address:
17. Requestor's Phone Number
18. Requestor's Email:
22. Proclaiming a:

    1. Day

    1. Week

    1. Month
24. Reissue Request from Previous Year(s)?

    1. Yes

    1. No
25. Date
    Date
27. Draft language included?

    1. Yes

    1. No
28. If yes, upload here:
30. Please briefly describe your group, organization, or cause:
32. Please briefly describe the purpose(s) you would like a proclamation to serve, or the message that you would like to convey:
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 Submit and Print

* indicates a required field