Request a Proclamation

Requests for Proclamations are only accepted by New Hampshire residents. Please provide the following information regarding your request.

All Required Fields * must be completed

First Name

Last Name

Address

City / State / Zip

County

Email Address

Phone/Extension

Alternate Phone/Extension

Fax Number

Please describe the Proclamation you are requesting

How is the Proclamation to be used and presented?

Please provide sample wording for your requested Proclamation

Proclamation Deadline

Request must be submitted at least 30 calendar days in advance

Have you requested a Proclamation before?

If yes, what was the Proclamation recognizing (e.g. cancer awareness, etc.)

Date of previous Proclamation

[ 12/15/2018 ]

If Approved, how would you like the Proclamation to be delivered to you?

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