Name
(Required)
First
Last
Email
(Required)
Confirm Email
(Required)
Phone
(Required)
Proclamation Title
(Required)
Preferred Method Of Delivery
(Required)
Pick Up at State House Room 280
Mailed To Preferred Address
Address for Mail Delivery
(Required)
Address Line 1
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Proclamation Date Type
(Required)
Select an option for the proclamation's date
Specific Single Day
Week Of
Month Of
Date
(Required)
MM
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
DD
1
2
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30
31
YYYY
YYYY
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
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1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Week Of
(Required)
"Week of January 4-10, 2026"
Month Of
(Required)
"Month of January 2026"
Associated Event
(Required)
Specify the event at which the proclamation will be presented
Sponsoring Organization, Company or Individual
(Required)
Proposed Proclamation Language:
(Required)
Will your organization be issuing a press release or other media communication about this proclamation?
(Required)
Yes
No
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