1

Contact Info

 *

Contact Info

First Name	Last Name
Organization Name (if applicable)	Address
Email	Phoneext.

2

Have you previously submitted a proclamation?

 *

Have you previously submitted a proclamation?

Yes (if so, when?) If other, type text here.

No

3

How would you like to receive the proclamation?

 *

How would you like to receive the proclamation?

Mail to address provided above (we will mail at no cost)

Pick-up from Tempe City Hall (31 E. Fifth St., Tempe)

E-mail the proclamation in a PDF format

Present at a City Council Meeting (provide names of attendees accepting the proclamation) If other, type text here.

Other If other, type text here.

4

Proclamation information

 *

Proclamation information

Proclamation title	Proclamation due date
Please provide background information/significance of proclamation	Website link

5

Type of proclamation

 *

Type of proclamation

Day	Week
Month

6

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation

Please provide whereas clauses (click here for an example) or upload a draft proclamation Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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