Request edit access
Proclamation Request Form
Requests should be made no less than 7 days prior to delivery/pick-up date. If you have any questions, please call Elisa Etcheto in the Mayor's Office at 203-797-4511.
What is it that you wish to request?
Please enter the date that you are making this request: *
MM
/
DD
/
YYYY
Contact Information:
Name: *
Phone Number: *
Email Address: *
Requested delivery/pick-up date for proclamation: *
MM
/
DD
/
YYYY
Will you be picking up the proclamation? *
Are you requesting that the Mayor deliver the proclamation? If so, what day, time and location?
Next
Never submit passwords through Google Forms.
This form was created inside of City of Danbury, CT. Report Abuse