JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 Local Proclamation Request
Please fill out this short form after submitting your proclamation request to your local city government.
We would like to keep track of how many proclamations we could receive across ND & MN!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Cell #
*
Your answer
Email Address:
*
Your answer
Please list the local city name below where you submitted your request:
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of BDAND.
Report Abuse
Forms
