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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. When is the best time to contact you?*
10. Do you represent an organization? *

    1. No
    2. Yes
12. If so, who?
14. What specific achievement, project, effort or endeavor is your proclamation recognizing?*
16. How does this proclamation tie back to the community of Bismarck?*
18. Has this achievement already been recognized previously by the City of Bismarck?*

    Please select one answer. 

    1. No, this is a first request.
    2. No, it was submitted previously but not recognized.
    3. Yes, it was submitted previously and recognized.
    4. I'm not sure.
20. If unsure, please provide an explanation.
22. Did you want this proclamation to be read at a City Commission meeting?*

    Bismarck City Commission meetings are traditionally held on the second and fourth Tuesdays of each month. 

    1. No
    2. Yes
24. What meeting would you like the proclamation read at?
26. Will you have someone attend that meeting for a photo opportunity?*

    Please select one answer. 

    1. No
    2. Yes
28. Did you also want a social media post recognizing this endeavor on the date highlighted on the proclamation? *

    Please select one answer. 

    1. No
    2. Yes
30. Please share information that will be used in the proclamation here.
32. Upload a document containing proclamation content.
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field