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2. Requester Name:*
3. Requester Organization/Agency:*
5. Phone Number:*
6. Email Address:*
8. Address:
10. City:
11. State:
    -- Select One --ALAKASAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMHMAMIFMMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVAVIWAWVWIWY
12. Zip Code:
14. Method of Delivery*

    1. Pickup (City Hall, 101 City Hall Plaza, Durham, NC)
    2. Mail (USPS)

    
    

    
    

16. Requested Title of Proclamation:*
17. Requested Proclamation Date (MM/DD/YYYY):*
    (or date range if requesting week, month, or year)
19. Background of the person, event, or organization:*
21. View Example of Proclamation Text:
    Click Here
23. Suggested Text of Proclamation:*

    Please include all text for the proclamation above. Your draft should have a maximum of 210 words and show the importance and relevance of the proclamation to the people of Durham.

25. Is the proclamation to be presented at an event?*

    1. Yes
    2. No
27. Additional event information:*

    Please share date, time and location of event. If the event is virtual, please indicate the platform being utilized (i.e. Zoom, UberConference, WebEx, etc).

29. Is the proclamation to be presented at a City Council meeting?*

    1. Yes
    2. No
31. View Upcoming City Council Meeting Dates:
    Click Here
33. Requested City Council Meeting Date:*

    If not requesting a Council meeting, indicate N/A.

35. If requesting a Council meeting date, indicate name and organization of person receiving proclamation. *

    This person will be provided 3-minutes to make remarks after the proclamation is read, either in person or virtually by Zoom.

    If not requesting a Council meeting, indicate N/A.

37. Email address and phone number of person receiving proclamation.*

    If not requesting a Council meeting, indicate N/A.

    
    

39. Policy Reminder:
    Requests are honored at the Mayor’s discretion. The Mayor reserves the right to decline any proclamation request or edit any draft language. Requests for proclamations to be presented at council meetings are also approved at the discretion of the Mayor.
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41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field