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2. Title of Proclamation*

   (e.g. First Responders Week)

4. Please provide two to four “whereas” statements for potential inclusion*

   ^{(You are limited to 1,200 characters. Please be concise, unnecessarily lengthy proclamations will not be accepted.)}

   WHEREAS, [the event’s significance; the reason why the association recognizes the day/week/month as important; or a little history on the item being proclaimed]; and

   WHEREAS, [the significance of the event to the residents of Urbandale, the community, or a segment of the community; the theme of the day/week/month and how that impacts Urbandale; or the reason the proclamation is important to the community].  

   NOW, THEREFORE, I, Robert D. Andeweg, Mayor of the City of Urbandale, on behalf of the City Council, proclaim: [what this proclamation is for] in the City of Urbandale [or the tie that binds the proclamation to Urbandale].  

6. Proclamation Date (day, week, or month)*
10. Organization*

    If not working with an organization, enter 'N/A'

12. Main Point of Contact*
14. Contact Email*
16. Contact Phone Number*

    Please enter a phone number with no dashes or spaces

18. Contact Physical Address*
20. Notes

    Let us know any additional information or questions you may have.

22. Information submitted via this form is a public record and subject to disclosure in response to a public records request.

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24. 1. Receive an email copy of this form.
25. Email address

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26. Submit

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