Request a Proclamation or a Certificate from the Mayor

2. Date of proclamation*

4. Name of proclamation*

6. Proposed proclamation text (subject to editing)*

   Please provide four "whereas" statements 1-3 sentences long highlighting the history of the individual/event, charitable work, and significant contributions to the City of Lansing community.

8. Organization and/or event name*

10. Summary or background of event, organization, or individual (include brief bio)*

12. When do you need the proclamation?

    Please allow a two week window to process proclamation requests.

14. How would you like to receive the proclamation?*
    -- Select One --Email mePick up at The City of Lansing's Mayor's Office

16. Certificate of Appreciation

18. Contact Information

20. First name*

22. Last name*

24. Email*

26. Phone*

28. Address*

30. City*

32. State*

34. Zip code*

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field