Proclamation, Lighting and Community Flag Raising Request Form

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* 1. I would like to apply for...

Proclamation request

Lighting request

Community Flag Raising request

Combination of above (please specify)

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* 2. Name of request

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* 3. Are you an applying on behalf of an organization?

No

Yes, and I am an official representative of the organization

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* 4. Organization name

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* 5. Describe the purpose of the request and how it demonstrates an interest or relationship to the Town of Newmarket

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* 6. Upload any additional documents (e.g. letter from organization, information sheet, background information)

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* 7. Requester information

Name

Website

Address

Social Media Address (e.g. Twitter handle)

City/Town

Province

Postal Code

Email Address

Telephone Number

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* 8. Please provide any social media hashtag(s) relevant to your campaign

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* 9. Additional Notes

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* 10. Would you like to request a signed letter from the Mayor’s office recognizing your proclamation, lighting request and/or community flag raising request?

Yes

No