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Please correct the fields below:

Request Town Council Recognition

Please correct the field(s) marked in red below:

Name/Organization Requesting Recognition

Name/Organization Requesting Recognition

Physical Address of Requester/Organization

Physical Address of Requester/Organization

Mailing Address of Requester/Organization (if different from physical address)

Mailing Address of Requester/Organization (if different from physical address)

Email

Daytime Telephone

Daytime Telephoneext.

Type of Request

Type of Request

Letter of Recognition

Proclamation

Certificate

Method of Recognition

Method of Recognition

Via Email

Organization Event

Via US Mail

Town Council Meeting Agenda

Description of Recognition

Description of Recognition

Date Requested by (Allow three weeks)

Date Requested by (Allow three weeks)

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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