Proclamation Request Form Online

Mayor

Madeline Rogero
mayor@knoxvilletn.gov
(865) 215-2040

400 Main St., Room 691
Knoxville, TN 37902

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Proclamation Request Form Online
 
CONTACT PERSON INFORMATION
 
* Name of Contact Person
* Street Address
* City*State*Zip Code 
 
    
* Phone #Additional Phone #  
  
Email Address   
  
 
PROCLAMATION / CERTIFICATE INFORMATION
 
* Name of Individual, Group or Organization
* Name of Title of Event
* Date of Event
 
* Do you request a City Representative for Event?
No  Yes   
   
* How will you get the Proclamation / Certificate?  
Will pick up at Mayor's Office    Please mail to above address 
   
* Which one are you requesting?  
 Certificate   Proclamation  
    
* Info to be listed on Proclamation / Certificate
What you want your proclamation / certificate to say. 
A proclamation must have enough information to make four points. 
 
Additional Comments   
 
* Indicates Response Required