2. OFFICE OF THE MAYOR

   CITY OF HUBER HEIGHTS

   PHONE: (937) 233-1423

   WWW.HHOH.ORG

   
   

   MAYORAL PROCLAMATION REQUEST FORM

4. Date of Request*
   Date of Request
5. Date Needed*
   Date Needed
7. Name Of Requestor*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address*
18. Brief summary of and/or background of the event, organization, or individual to be proclaimed:*
20. Name and date(s) of the day, week, or month to be proclaimed (if applicable):
22. Upload Documentation

    Upload proposed text for proclamation and/or other relevant or background documentation for the proclamation.  You can upload multiple files.

26. Contact By Phone

    1. Yes
27. Contact By Email

    1. Yes
29. Mail Proclamation

    1. Yes
30. Address:

    Please input the complete address, including City, State, and Zipcode

32. Present Proclamation

    1. Yes
33. Requested Date for Presentation:
35. Other

    1. Yes
36. Info:
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field