Proclamation Request Form

Proclamation Request Guidelines

Requests for proclamations are only accepted from Arkansas residents and should be requested at least thirty days prior to the date of the proclamation. Please provide the following information regarding your proclamation request. All fields are required for consideration.

Organization

Salutation

Contact Name(Required)

Hidden

Contact Name

Email(Required)

Contact Phone

Suffix

Street Address

City

State

Zip

Proclamation Title

Please describe the proclamation you are requesting

How is the proclamation to be used and how is it to be presented?

Please provide sample wording for your requested proclamation

(If statistics or data points are included, please list sources of information):

Proclamation Date

Proclamation must be requested 30 days prior to the date of proclamation (please refer back to the proclamation guidelines at the top of the screen):

Have you requested a proclamation from our office before?

Yes

If yes, what was the name of that proclamation?

(add limit of 2 proclamation requests per year)

Date of previous proclamation:

How would you like to obtain your proclamation?

Mail to address listed above.

Will pick up. Please notify when ready.

Your request will go through an approval process, and the Governor has the discretion to decline or approve any proclamation.

IMPORTANT: By submitting this proclamation request, you agree to the terms on the Governor’s Proclamation Guidelines page. Once you submit your request, a confirmation page will appear and you will receive a confirmation e-mail at the address on the form. If you do not receive a confirmation email please contact us at: (501) 682-6424 for assistance.

Electronic Agreement

I Agree

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