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2. Request a Proclamation

   Please submit all proclamation requests at least two weeks before the date your proclamation is needed.  Please review our proclamation guidelines before submitting this form.

4. Your Full Name*
5. Your Organization (if applicable)
7. Your Email*
8. Your Phone Number
9. Date Needed*
   Date Needed
11. Date(s) and organization, individual, or event to be recognized*

    Examples:  Proclaim April 21 through April 27 as Earth Week, Proclaim January 15 as Martin Luther King Jr. Day, Proclaim May as Mental Health Awareness Month

13. About You*

    Please select all that apply

    1. I'm a Missoula resident
    2. I represent a Missoula-based organization
    3. I'm not from Missoula and don't represent a local organization
    4. Other
15. If "other" please explain
17. Whereas statements

    You can write up to five brief "whereas" statements for your proclamation.  See proclamations for some examples.

19. Whereas,*
21. Whereas
23. Whereas
25. Whereas
27. Whereas
29. How would you like to receive your proclamation?*

    Please select all that apply.  If you want to ask Mayor Davis to attend your event to read the proclamation, you must also fill out a schedule request form.  Schedule requests should be sent as far in advance of the event as possible, and the mayor is not able to accommodate all event requests.

    1. Email an electronic copy
    2. Read at a City Council meeting
    3. Mail a physical copy
    4. Ask the mayor to read it at my event
31. Mailing address
33. Notes

    Let us know if you have additional information to provide or any questions for us.

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

* indicates a required field