Submit Request

Requesting Proclamations, Commendations & Certificates of Recognition

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1

Your Contact Information: (Required)

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Your Contact Information: (Required)

E-Mail Address *:

First Name:

Last Name:

Address:

City, State:

Phone Number:ext.

2

Mayoral Document Type: (Required)

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Mayoral Document Type: (Required)

Proclamation

Commendation

Certificate of Recognition

3

What is the date of the observance, occasion, or community event/action? (Required)

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Date *:

4

How would you like the Proclamation, Commendation, or Certificate of Recognition presented? (Required)

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How would you like the Proclamation, Commendation, or Certificate of Recognition presented? (Required)

On location in the community

Common Council meeting

5

Please check this box if you would like to request a special flag

Please check this box if you would like to request a special flag

6

How does this request meet the policy’s criteria? (Required)

Mayoral Policy - PROCLAMATIONS, COMMENDATIONS & CERTIFICATES OF RECOGNITION

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How does this request meet the policy’s criteria? (Required) Mayoral Policy - PROCLAMATIONS, COMMENDATIONS & CERTIFICATES OF RECOGNITION

7

Provide background or historical information on the topic: (Required)

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Provide background or historical information on the topic: (Required)

Provide background or historical information on the topic: (Required)

Provide background or historical information on the topic: (Required) Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

8

What impact does this subject have on the residents of the City of Appleton? (Required)

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What impact does this subject have on the residents of the City of Appleton? (Required)

9

Provide pertinent information to assist the Mayor in deciding whether to issue the Proclamation, Commendation, or Certificate of Recognition as requested: (Required)

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Provide pertinent information to assist the Mayor in deciding whether to issue the Proclamation, Commendation, or Certificate of Recognition as requested: (Required)

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