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 INFORMATION
Additional Comments
* Items marked with an asterisk (*) are required to be filled on this form.