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Request Key to Townaaronf2018-08-17T14:58:14-07:00

Key to the Town Submission Form

Form Submission is restricted

Your request has successfully submitted. Thank you!

RECOGNITION REQUEST FOR KEY TO THE TOWN

Requester:

Street Address:

City, State, Zip:

Phone:

Email:

Name of Event:

Person(s) being recognized:

Date of Event:

Time:

REASON FOR RECOGNITION:

Professional or amateur sports

Entertainment Industry

Military Service

Public Service

Humanitarian efforts

Florence resident reach 100 years of age

Person who performed act of heroism while in the Town limits

Dignitary or celebrity visiting the Town of Florence

DELIVERY OF RECOGNITION:

At Council Meeting:

Date of Meeting:

Outside of Council Meeting:

Date Needed by:

Key to be presented by:

Mayor

Mayor and Council

Event Location:

Time Mayor/Council needs to be at event:

By Mail:

Mail to (Address):

Will pick up in Person

Will pick up by (Person):

Included is a brief summary/background of the event or organization.

Please upload your PDF file:

Drop files here or click to select

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775 North Main Street
PO Box 2670
Florence, AZ 85132

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