Response

Requester Information

Prefix

Requester Name

Requester Last Name

Requester Organization

Requester Phone Number

Requester Email

Is your organization/agency a state government agency?

Mailing Information

Prefix

Recipient First Name

Recipient Last Name

Organization

Address Line 1

Address Line 2

City

State

Zip

Would you like to receive a PDF of the proclamation? Yes
No

Requested Title of Proclamation

Requested Proclamation Date

Date printed on Proclamation

(If the proclamation is for multiple days (week, month, etc.), only enter the first day the proclamation starts.)

Suggested Text of Proclamation

Please include all text for the proclamation above. Your draft should be 4-6 whereas clauses that show the importance and relevance of the proclamation to the people of North Carolina. Requests submitted without text will not be processed until a draft is provided. Find examples of proclamations.

Sources

If you have not already, please use the space above to cite the sources for any statistics and/or information used in your suggested text. This will help us to verify this information.

Is the proclamation to be presented at an event? Yes
No

This information will not be used to formally request the Governor to attend your event. Please visit that scheduling portal if you would like to request the Governor's presence.

Additional Information (optional)

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