2. Please fill out the form below to submit your request for a Mayoral Proclamation. City of Surprise Proclamation requests are reviewed by and considered for approval through the Office of the Mayor.

   If approved, the proclamation can be issued in the following ways: Presented at a City Council meeting / Picked up from City Hall  / Mailed to the requesting organization or individual.

   Proclamation requests must be submitted, at minimum, one month in advance to allow time for review, approval and document preparation.

4. Name of Requesting Organization or Individual*
6. Contact Person (First and Last Name)*
7. Contact Phone
9. Contact Email*

11. Proclamation Details

13. Description of the event or issue for the proclamation:*
15. Attach or include draft language for the proclamation. If this request is for a proclamation that has been issued before you may select to use the same proclamation language with updated dates.*

    1. Attach with file upload

    1. Provide text

    1. Previously issued proclamation
17. Please upload your proclamation draft language*
19. Please provide text for the proclamation*
21. How would you like to receive the proclamation?*

    1. Presented at a Council Meeting
    2. Pick up at City Hall
    3. Mailed
23. City Council meeting date:*
    City Council meeting date:

    Regular City Council Meetings begin at 6:00 p.m. on the first and third Tuesday of each month at Surprise City Hall in the Council Chambers, located at 16000 N. Civic Center Plaza.

    View the City of Surprise calendar for upcoming meeting dates.

25. Person receiving the proclamation:*
27. Name of person receiving mailed proclamation:*
29. Address*
31. City*
32. State*
33. Zip*
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field