Form Center

2. Date of Request
   Date of Request

   Date of Request
3. Date Needed
   Date Needed

   Date Needed
5. First name of person making the request
6. Last name of person making the request
8. Phone Number of Person Making the Request
9. Email Address of Person Making the Request
11. Name of Organization/Person to be Honored
12. What is the reason for celebration?
14. If applicable, is this a local organization?
15. Has this person/organization received a Celebratory Document before?
17. Where would you like the Celebratory Document to be presented? (e.g. The Mayor's Office, before a City Council Meeting, at an event or celebration)
19. If the document is to be presented at an event, please provide the time, date, and address.
21. Biographical Information

    If a proclamation is being requested, please send biographical information to communications@cityofmesquite.com. Call 972-216-6404 for more information.

23. Note: The City of Mesquite reserves the right to decide which type of Celebratory Document will be presented. In addition, if the Mayor is unable to attend the event, the Mayor Pro-Tem or a Councilmember will attend in the Mayor's place.
Leave This Blank:


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

    This field is not part of the form submission.

27. Submit

* indicates a required field