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Get NV Proclamation Request Form

Lasvegasnevada.gov Proclamation Request Form Please fill in the appropriate information. Once completed please email this form to mayorrequests lasvegasnevada.gov. You may also send it by fax or mail contact information above. Due date 3. Contact information of person making the request Name Organization Cell and/or best daytime phone Email address Will this be picked up at City Hall yes no All local requests must be picked up at City Hall 5. If you are unable to pick up the proclamation please provide an address where it can be mailed Mailing address City State ZIP 6. Office of Mayor Carolyn G* Goodman 495 S* Main St 7th Floor Las Vegas Nevada 89129 Phone 702 229-6241 Fax 702 385-7960 www. Requests must be made two 2 weeks in advance. Handwritten requests are strongly discouraged* 1. Today s date 2. Due date 3. Contact information of person making the request Name Organization Cell and/or best daytime phone Email address Will this be picked up at City Hall yes no All local requests must be picked up at City Hall 5. If you are unable to pick up the proclamation please provide an address where it can be mailed Mailing address City State ZIP 6. Specific title of what will be proclaimed full name of person event or 7. Date being proclaimed 8. Please provide 2-3 sentences about the person being recognized i*e* reason for recognition. Requests must be made two 2 weeks in advance. Handwritten requests are strongly discouraged* 1. Today s date 2. Due date 3. Contact information of person making the request Name Organization Cell and/or best daytime phone Email address Will this be picked up at City Hall yes no All local requests must be picked up at City Hall 5. If you are unable to pick up the proclamation please provide an address where it can be mailed Mailing address City State ZIP 6. Specific title of what will be proclaimed full name of person event or 7. Date being proclaimed 8. Please provide 2-3 sentences about the person being recognized i*e* reason for recognition. .

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