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2. Type of Document Requested*

   1. Letter
   2. Proclamation
4. Have you requested this document previously?*

   1. Yes
   2. No
6. How would you like to receive the proclamation?

   1. By mail
   2. Pick up at Town Hall
   3. Presentation during Council Meeting
8. Name of individual/group/organization/event to be recognized*
10. Details of Proclamation*
12. Website
14. First Name*
15. Last Name*
17. Street Address*
19. City*
20. State*
21. Zip Code
23. Phone Number
24. Email Address
26. Upload a File
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field