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. Mayor to Present Proclamation
    Mayor Event Request Form

    If you would like the Mayor to present the proclamation, please click the link above and fill in the Mayor's Event Request form.

18. Certificate of Appreciation

20. Contact Information

22. First name*

24. Last name*

26. Email*

28. Phone*

30. Address*

32. City*

34. State*

36. Zip code*

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field