Advance Notice - Your Proclamation request must be received at least 3 months in advance of the date you would like to receive the Proclamation. First Name * Last Name * Address * City * State * Zip Code * Phone Number * Email Address * Type of Organization or Individual that the Proclamation is for * Resident's 100 Birthday Retirement of Town of Tolland Employee Fair Housing Civic Organization Recognition Other Pertinent Information (i.e. Name, what Proclamation is in honor of, etc.) * For this question, please include information that we will use to generate the Proclamation. For example, full name, why the Proclamation is being requested. Please include as much information as possible. Are you requesting a formal presentation? * Yes No When is the Proclamation needed by? * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Is this a repeat from last year? * Yes No Leave this field blank