Proclamation Information This request is coming from a state agency Title First Name Middle Name Last Name Suffix Preferred Name Email Phone Organization Name Job Title Title of the Proclamation (e.g. Virginia Volunteer Week ) How do you like to receive the proclamation? Select an option...MailPick up Start Date End Date Street Address City State Select state...AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY Zip Summary/background of the individual, group or organization making the request Proposed verbiage including 5-6 Whereas Clauses Sources for any statistics and/or other information used in your proposed verbiage Date the service is needed by Delivery Information Full Name of the person to deliver to Use the same address as requested Street Address City State Select state...AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY Zip Submit