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CS - Proclamation Request Form Text Size: A | A Printer friendly page Print Email this link Email Link
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At her discretion, Governor Brewer will issue proclamations for noteworthy state events that deserve special recognition as a courtesy to Arizona residents. These public service documents are strictly honorary and are not legally binding. All proclamation requests will be reviewed on a case-by-case basis. The Governor reserves the right to decline any request for a proclamation.

If you need further information, please call (602) 542-1535 or email Vjones@az.gov. Proclamation requests must be submitted 6 weeks in advance of the date needed.

* Indicates a required field

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Date when the proclamation is needed: * A value is required.
The name proclamation: * A value is required.
Date(s) of the day, week, or month, to be proclaimed: * A value is required.
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Has this proclamation been issued in AZ in the past? *
If so when?
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Is this in conjunction with a National Recognition? * No Yes
If so what States issued this proclamation this year?
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Will the proclamation be presented at an event? * No Yes
If so provide details of the event (itinerary, attendees, etc)
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A summary and background of the requesting organization: *
Requesting organization’s web site:*
What additional groups are involved? * A value is required.
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Is Honoree named in proclamation text? *
Honoree Name, if named in proclamation text:
Background of Honoree, if named in proclamation text:
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Proposed text for the proclamation, including 4-6 “Whereas” clauses: *Draft language provided may be edited or rewritten at the discretion of the Governor’s office. *
A value is required.
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Primary Contact Person Information: * (All contact info fields are required)
Name A value is required. Address: A value is required.
Phone: A value is required. City: A value is required.
Email: A value is required.Invalid e-mail format. State: ZIP: A value is required.
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How would you like to get the completed proclamation? *
Mailed (standard U.S. mail) Picked up at the State Capitol
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• Proclamations recognize a day, week or month.
• Proclamations are issued for Arizona non-profit organizations with preferably statewide, but at least regional interest. Local (city or county wide proclamations) can be issued by local officials (mayors or county commissioners).
• Proclamations will not name specific organizations unless they are non - profit.
• Proclamations are issued for one period of time only. For example, if “Litter Cleanup Day” is proclaimed on January 1, then “Litter Cleanup Week, “ “Litter Cleanup Month” will not be proclaimed later in the year. Arizona organizations are encouraged to coordinate their efforts with other similar groups before contacting the Governor’s office. Organizations are encouraged to request proclamations that coincide with national or state- designated dates.
• Requests that are similar to already issued proclamations will be declined. For example, if “Ballet Week” was proclaimed in January and a request for “Ballet Dance Month” is received in June, the request for “Ballet Month” would be declined. A copy of the “Ballet Week” proclamation could be provided instead.
• Proclamations are not issued for conferences, birthdays, retirements, weddings, or anniversaries.
• Requests will not be issued more than 3 months in advance of the event.
• Six weeks notice is required to provide proclamations.

   
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Your rights to privacy are of utmost importance to the Governor's Office in building trust and confidence when conducting business through the Internet. The Governor's Office will attempt to protect the privacy interest of anyone who corresponds with the Governor's Office and does not wish their contact information to be made public; however, because the Governor's Office is a public entity, there can be no guarantee that such information will always be kept confidential.
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