Proclamation Requests Form

2. City of Sanford Request for Mayoral Proclamation

3. Date Requested
   Date Requested

5. Requested on behalf of

   (Person, Group, Company, Organization)

7. Proclaiming
   -- Select One --DayEventMonthPersonWeek

8. Type of Request
   -- Select One --Annual RequestFirst Time RequestOne Time Request

10. Choose one
    -- Select One --Blue-backedPresentation Folder

12. Person requesting recognition – Contact Information

14. First Name

15. Last Name

17. Address

19. City

20. State

21. Zip Code

23. Phone Number

24. Email Address

26. Presented at

    Council Meeting

27. Date
    Date

29. Recipients attending Council meeting (names / titles)

31. Event Elsewhere

32. Date
    Date

34. Location

36. Choose how to recieve proclamation

    1. Mail to contact address listed on this form
    2. Pick up

37. If picking up, select date of pick up
    If picking up, select date of pick up

39. Please provide proposed WHEREAS language (4 to 6 paragraphs) with this application. Review the samples provided (PDF). Should you need more space, please submit your wording via email to kelly.miller@sanfordnc.net.

    Note: Proclamations require a minimum of two weeks advance notice for preparation, and are subject to the mayor’s approval.

    Note: Proclamations require a minimum of two weeks advance notice for preparation, and are subject to the mayor’s approval.

41. Mayor approved

42. Date processed
    Date processed

43. Date finalized
    Date finalized

45. Proclamation

47. Whereas,

49. Whereas,

51. Whereas,

53. Whereas,

55. Whereas,

57. NOW, THEREFORE*

    Please include in this field what you would like the mayor to proclaim or recognize.

Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit Submit and Print

* indicates a required field