Request a Proclamation

All fields are required.

Prefix *If specified other, please explain.
Other:
First Name: *
Last Name: *
Organization you are representing: *(For clarification, please see guidelines)
Federal ID Number:
No Federal ID Number
Title/Position within the Organization: *If specified other, please explain.
Other:
Organization's mission statement: *
Please provide link to the webpage.
Provide a few sentences describing your role within the organization: *
Email: *
Phone Number: *

Mailing Address

Street: *
City *
State: *
Zip Code: *

Proclamation Information

Date Proclamation is needed: *Please allow 4-6 weeks for review.
Other:
Proposed language for proclamation: *
-Must be specific to Florida and have a statewide significance (Please see proclamation guidelines). See sample proclamations here. Please provide four to six WHEREAS clauses.
Upload Attachment: Optional.

Verification

Please enter any two digits *Example: 12
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