What kind of Ceremonial item would you like to request? Select from dropdown list below:

Select from Dropdown list ===> Alcalde Certificate Citation Eagle Scout Emissary of the Muses Heroism Honorary Citizen People Like You Proclamation Resolution of Appreciation Other

What is the title of the ceremonial item, or, the name of the intended recipient?

Enter a brief description about the request (Limit to six lines). You will be contacted for more detailed information:

On what date do you intend to present the ceremonial item?       

Please provide information so that we may contact you regarding this request:

Name
E-mail
Phone