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Proclamation Request Form
tbothell@auburnwa.gov
25 W Main ST, Auburn, WA 98001
253-876-1941
Form Section 1
Contact First Name:
Contact Last Name:
Contact Phone Number:
Contact Mailing Address:
Street Address
City
State
Zip
Contact Email Address:
Group, Organization, Activity or Event Being Recognized: (Please make sure you provide complete and current information about the group or event)
Provide information about the organization/event including a mission statement, founding date, location and achievements.
Website Address: (if applicable)
What is the proclaimed day, days, week or month? (e.g. 10/11/18, October 11-17, 2018, October 2018)
What activities/events are planned around this Proclamation and how do you plan to promote this to the community?
Would you like to attend a Council meeting for formal presentation of the Proclamation?
Yes
No
If yes, please provide the full name and contact information (phone number and email address) of the party who will accept it on behalf of the group, if different than above.
If no, please specify if you would like the proclamation mailed to you at the addresses above, or if you would like to pick up from the Mayor’s office.
Please include a draft of the proposed Proclamation with this request. Thank you!!
X
disregard this
