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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Organization Name
10. What type of recognition are you requesting?*

    1. Certificate of Recognition
    2. Proclamation
11. Preferred Method of Delivery*

    1. Pick-up by requestor
    2. Mailed to requestor
    3. Presentation at a Council Meeting
    4. Hand delivered by Council Member at an event
13. If the preferred method of delivery is at an event, please list the address here.
15. Please provide a brief history around the organization/event being honored or a description of the purpose for the request.*
17. Event Date*
    Event Date

    Event Date

    Please include the event date and time or the date of the Council Meeting that the certificate or proclamation is requested to be presented at. 

19. Please submit any supporting documentation (i.e. proposed language, event flyer, etc.)
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field