Proclamations 2011

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.
1.Please fill out your information.(Required.)
2.What location is the proclamation from?
If it's a statewide proclamation, please leave the Municipality entry blank.
(Required.)
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.
(Required.)
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.
(Required.)
5.Does this proclamation contain language that references the Pancreatic Cancer Research & Education Act (S. 362/H.R. 733)?(Required.)
6.Any additional notes about this proclamation that you would like us to know?