Proclamation & Certificate of Recognition Request Form

How does your request relate to the City of Tustin?

Recipient Information

First Name: *

Middle Initial: *

Last Name: *

Title: *

Display name on Proclamation/ Certificate as: *

Name of Organization: *

Event Date & Time: *

Event Description: *

Reason for Proclamation:

Requester Name: *

Phone Number: *

Email: *

Requested Delivery Date of Proclamation or Certificate:

Additional Comments:

If you would like to invite the City Council to attend your event, please complete the information below.

I would like to invite the following:

Mayor Austin Lumbard

Mayor Pro Tem Ryan Gallagher

Council Member Letitia Clark

Council Member Rebecca "Beckie" Gomez

Council Member Ray Schnell

Suggested text for Certificate or Proclamation. If you are requesting a Proclamation, please submit a bio or background information for review.

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