Form Center

2. First Name*
3. Last Name*
5. Phone Number
6. Email:*
8. Name of event/occasion you would like to be recognized*
10. Proclamation issued at...

    1. Event
    2. City Council Meeting
    3. School Committee Meeting
    4. Social Media
12. Address of event/occasion
13. City
15. Date and time of the event
    Date and time of the event

    Date and time of the event
16. Attachments
18. Date and time of proclamation via social media
    Date and time of proclamation via social media

    Date and time of proclamation via social media
20. Proclamation language or background information about the event*
22. Additional information...
24. If you have any questions or concerns, please contact the Mayors Office at mayor@northamptonma.gov or 413-587-1249. All proclamation requests must be received within 15 days of the event or occasion.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field