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ROANOKE CITY COUNCIL CEREMONIAL DOCUMENT REQUEST FORM

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Step One

Name
Email Address
Address
City
State
Zip Code
Phone Number
Date of event:
Name of event (specific title of proclamation):
Purpose of event:
Background information:
Minimum 200 word biography on individual/organization/group to be honored. This information will be used as the “whereas” clauses...additional information can be attached to this form.
Prior honors/recognitions:
Should the document be mailed:
If the document will be picked up, please indicate when:
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ROANOKE CITY COUNCIL CEREMONIAL DOCUMENT REQUEST FORM

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