Request a Proclamation

Proclamations recognize a day, week or month for a specific issues or occasion.  The intention of a proclamation is to honor, celebrate, or create awareness of an event of statewide significance.

Advanced Notice:  Your request MUST be received at least 30 days in advance of the date you would like to receive the proclamation.  While we will make every effort to accommodate your request, we cannot guarantee a proclamation with less than 30 days notice.

* Denotes a required field.

* Title of the Proclamation (e.g. Diabetes Awareness Month): 


* Date range of proclamation (July, July 3, 2017, July 1-7, 2017 


* Name of Sponsoring Organization: 


Website: 


* Date you would like to receive the proclamation (mm/dd/yyyy): 


* Description of Proclamation:
- What issue does this proclamation recognize?
- Why is this issue of significance?
- Who will benefit from this recognition?
- Are there any associated events?


* Draft language:  Proclamation draft language is required.  To submit draft language, please type or cut and paste in the box below.


Attach document or flyer with more information, 2MB size limit: 


* Delivery Instructions 


Contact Information

Requestor

* Prefix 

* First Name 

MI 

* Last Name 

* Email 

* Day Time Phone 

Organization 

* Address Line 1 

Address Line 2 

* City or APO/AFO 

* State 

* Zip 


Recipient (if other than the Requestor) 

Prefix 

First Name 

MI 

Last Name 

Organization 

Email 

Daytime Phone 

Address Line 1 

Address Line 2 

City 

State 

Zip