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Mayor Carl
A. Redus, Jr.
Proclamation Request form
Proclamation
requested by ______________________________________________________
Street address________________________________________________________________
City
State _ ____ Zip_______ Phone ______________
A request for a
proclamation has been received to honor:______________________________
Please complete the following
information and return it as soon as possible.
Mail to: Office of Mayor Carl A. Redus,
Jr. or Fax to: Mayor
Carl A. Redus, Jr.
Complete
the following and attach additional sheets as necessary:
Name of each
recipient or honoree:________________________________________________
Why honoree is
being recognized:_________________________________________________
________________________________________________________________________________________________________________________________________________________
Other
organizations honoree may have participated in:_________________________________
____________________________________________________________________________
________________________________________________________________________________________________________________________________________________________
Any specific information,
contributions, anecdotes, etc. that you wish to have considered for inclusion
in the proclamation:_____________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Date the
proclamation is to be presented:___________________________________________
Location where
the proclamation is to be presented:___________________________________
Name of contact
person representing the presenting organization________________________
Street address ________________________________________________________________
City
State _ ___
Zip__________ Phone_________________
Date of occasion or event________________________________________________________
Please
indicate if you would like Mayor Redus to present the proclamation(s) and staff
will notify you if he is available. Yes, ______ we’d like Mayor Redus. No,
_______ the Mayor does not need to be present.