Other Special Requests
Complete the form.
Required fields are marked with an asterisk(*).
1. Contact Information
*Contact Name
*
Organization
*
*Phone
*
e.g. 780-555-1234
*E-mail
*
e.g. email@domain.com
Address
*
Secondary Address
*
City
*
Province/State
*
Country
*
Postal/Zip Code
*
e.g. A9A 9A9/12345
2. Event Information
*Date of the Event
*
e.g. MM/DD/YYYY
Description of Event
e.g. Name, Purpose
max 500 characters
*
Web Site
*
e.g. www.yourorganization.com
3. Please let us know what you are requesting*
check all that apply
Written Event Messages
Proclamations
Celebratory Scrolls
Flying a Special Flag at City Hall
3. Additional Comments
max 2000 characters
*
Note: If you use this online form, that's all you need to do!
Please do not send duplicate requests by mail, fax or e-mail.
Please send us your request at least four to six weeks in advance of your deadline.
Copyright © 2012, City of Edmonton.
