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2. Are you a Glenn Heights Resident and/or Glenn Heights-based Organization?*

   1. Yes
   2. No
4. First & Last Name*
6. Email Address*
8. Contact Number*
10. Name of Recipient or Organization*
12. Date Proclamation is Needed*
14. Reason for Document*
16. Suggested Wording for Document
18. Presentation Preference (i.e. City Council Meeting, Community Event, City Hall pick-up, Mailed, or Emailed)*
20. If Mailed, please provide an address.
22. Additional Considerations Regarding Your Request
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24. 1. Receive an email copy of this form.
25. Email address

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26. Submit

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