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Proclamations 2011

Please fill out this form fully, all questions (except the last one) are mandatory.
A proclamation will not be counted as "completed" until we also receive a clear photo of the corresponding proclamation.

Send proclamation photos to advocacy@pancan.org and label them as "municipality state photo".

For any proclamations questions, including how to fill out this survey, email advocacy@pancan.org or call 202-742-6699.

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* 1. Please fill out your information.

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* 2. What location is the proclamation from?
If it's a statewide proclamation, please leave the Municipality entry blank.

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* 3. What congressional district is the proclamation located in?
Please enter congressional district in the following format: "ST-XX".
Example, Missouri's 1st district is MO-01. If it's a statewide district/proclamation, enter in as format "ST-AL".
To find congressional districts, click here.

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* 4. Who is the proclamation sponsor?
The sponsor is whose signature is on the proclamation. Please include the sponsor's position.
Example: Mayor John Smith; Councilwoman Jane Doe.

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* 5. Does this proclamation contain language that references the Pancreatic Cancer Research & Education Act (S. 362/H.R. 733)?

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* 6. Any additional notes about this proclamation that you would like us to know?

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