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

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

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?

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

Additional Details:

FOR USE BY THE MAYOR'S OFFICE ONLY

Approved _______ Date: __________ Denied_________ Date:___________

Mayor's Signature: _______________________________________________________________________