Proclamation 50 Submission Form

Upload your proclamations for Myositis Awareness Month 2025!

If you secured more than one proclamation, you will need to submit this form for each document. Thank you!

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* 1. What type of proclamation are you reporting?

State - Governor's Proclamation

State - Legislative Resolution

Local - County Proclamation

Local - City Proclamation

Other (please specify)

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* 2. Please specify the legislature, office, and/or elected official that issued this proclamation. (For example, "Maryland Senate, Senator Jane Doe.")

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* 3. Please upload a copy of your submitted document.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 4. Please upload a photo of you receiving your proclamation, if you have one. If you have more than one picture, please email to Proclamations@myositis.org.

PNG, JPG, JPEG, GIF file types only.

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* 5. Please share any notes about the submission process you experienced so we can inform future volunteers, especially in your state, county, and/or city.

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* 6. Was this your first time securing a proclamation for myositis awareness?

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* 7. How likely are you to secure another proclamation for a future myositis awareness observance?

Very likely

Likely

Somewhat likely

Neither likely nor unlikely

Somewhat unlikely

Unlikely

Very unlikely

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* 8. What is your first and last name?

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* 9. What is your email?

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* 10. Anything else you'd like to share with TMA?

Send me a copy of my responses via email