Proclamation Request Form

2. 
5. Blount County Proclamation Request Form
   Welcome to the Mayor's Proclamation Request Form! 

   Please complete the following form if you are requesting a proclamation from Blount County Mayor Ed Mitchell's office.

7. Contact Name*
8. Organization Name*
10. Organization Address*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
17. Email Address*
21. Proclamation Information

    Please answer the fields below to reflect what you would like Mayor Mitchell to proclaim, the date you need the proclamation by, and the information you would like included in this proclamation. 

    Many individuals and organizations request proclamations for significant milestones. Other proclamation requests recognize National weeks or days like Red Ribbon Week, EMS Week, National Day of Prayer, DAR Literacy Day and many, many more. 

23. Please tell us about your proclamation.
25. Date Proclamation is needed by:*
    Date Proclamation is needed by:
26. Sample Proclamation Upload

    If you have a sample you would like to include, upload here.

28. Proclamation text you would like included: *

30. Thank you for submitting your proclamation request. Someone from the Mayor's Office will be in touch soon. 

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field