Flag Flying Request Form

Flag Flying Request Form
Contact information:
Organization Name:*
Type of Organization:*
Requestor First Name:*
Last Name:*
Telephone Number:*
Organization Email:*
Request Details:
Date requested for Flag Raising*

MonthDayYear
Date
Duration of Flag Raising (Not to exceed 7 days):*
Time of Event
Start of Event
End of Event
Flag Type:*
Purpose of Flag Raising*
Ceremony*

YesNo
You will have an option of providing a one-page (8.5 x 11 inch) description of significance of your flag to be displayed at flag sight. Do you request this service?*

YesNo
If "YES" please submit the "Description of Significance" in either a Word Doc or PDF format for approval

Cancelof
Additional Details:
FOR USE BY THE MAYOR'S OFFICE ONLY

Approved _______ Date: __________ Denied_________ Date:___________

Mayor's Signature: _______________________________________________________________________
Should be Empty: