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2. Advance Notice
   Your Proclamation request must be received at least 30 days in advance of the date you would like to receive the proclamation.
4. CONTACT INFORMATION
8. First Name*
9. Last Name*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
19. Email Address*
21. Name of Organization or Individual that the Proclamation is for:*
23. Are you requesting the First Selectman to present Proclamation?*

    1. Yes
    2. No
24. Time
    Time
26. Address
28. City
29. State
30. Zip Code
32. When will the Proclamation be picked up:
    When will the Proclamation be picked up:
33. By Requestor? If not, indicate by whom.*

    1. Yes
    2. No
35. First Name
36. Last Name
38. Is this a repeat from last year?

    1. Yes
    2. No
40. PROCLAMATION DETAILS
    
    Below we are asking for a maximum of 6 "whereas" clauses.
    
    Whereas*
42. Whereas
44. Whereas
46. Whereas
48. Whereas
50. Whereas
52. Now, Therefore, I, Fred Camillo, First Selectman of the Town of Greenwich, do hereby proclaim
54. Date*
    Date
55. As*
    example: "All Pets Day"
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field